Active NPI
Allen Weisberger, DDS
- Dentist
- Sayville, NY
National Provider Identifier
1851480123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24253
- Practice address
- 347 Versa Place
Sayville, NY 11782 - Phone
- (631) 567-1717
- Fax
- (631) 567-4518
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24253 | NY | Primary |
Addresses
Primary practice location
347 Versa Place
Sayville, NY 11782
Mailing address
347 Versa Place
Sayville, NY 11782
Phone (631) 567-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24253 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851480123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 VERSA PLACE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "11782",
"telephone_number": "631-567-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 VERSA PLACE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "11782",
"telephone_number": "631-567-1717",
"fax_number": "631-567-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISBERGER",
"first_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "24253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.