Organization Active NPI

Mark J Weinberger DDS PC

  • General Practice Dentistry
  • Troy, NY
National Provider Identifier
1871601807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
031674 Issued in NY
Legal business name
MARK J WEINBERGER DDS PC
Practice address
961 Hoosick Rd
Troy, NY 12180-6634
Phone
(518) 279-1244
Fax
(518) 279-1670
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Joanne E Weinberger
Title
Office Manager
Phone
(518) 279-1244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 031674 NY Primary

Addresses

Primary practice location

961 Hoosick Rd
Troy, NY 12180-6634

Mailing address

961 Hoosick Rd
Troy, NY 12180-6634
Phone (518) 279-1244

National Provider Directory

National Provider Directory

Locations

961 Hoosick Rd
Troy, NY 12180
Phone (518) 279-1244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871601807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806634",
            "telephone_number": "518-279-1244",
            "fax_number": "518-279-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806634",
            "telephone_number": "518-279-1244",
            "fax_number": "518-279-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J WEINBERGER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-279-1244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "031674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.