Active NPI
Corey J Weiner, MD
- Diagnostic Radiology Physician
- Elmont, NY
National Provider Identifier
1891720272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 239107
- Practice address
- 545 Elmont Rd
Elmont, NY 11003-4002 - Phone
- (516) 495-7129
- Fax
- (516) 977-2874
- NPI assigned
- Jul 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MA46748 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 239107 | NY | Primary |
Addresses
Primary practice location
545 Elmont Rd
Elmont, NY 11003-4002
Mailing address
545 Elmont Rd
Elmont, NY 11003-4002
Phone (516) 495-7129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05219906 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA46748 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical & Diagnostic Center Inc | Current | Accepting new patients | |
| Quality Medical Imaging of Arizona, Inc | Current | Accepting new patients | |
| Sancor Medical Enterprises, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Park West Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Consultants of Essex, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| North Shore Health System Medical Faculty Group Practice Inc | Past | Accepting new patients | |
| Advanced Imaging and Radiology Assoc | Diagnostic Radiology | Past | Accepting new patients |
| Mahwah Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| Os Management Company LLC | Diagnostic Radiology | Past | Accepting new patients |
| DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP | Diagnostic Radiology | Past | Accepting new patients |
| Howard Kessler MD PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Kew Gardens, NY
- NPI 1790771889
-
- Diagnostic Radiology Physician
- West Paterson, NJ
- NPI 1134152457
-
- Diagnostic Radiology Physician
- Mahwah, NJ
- NPI 1023041340
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Phoenix, AZ
- NPI 1417124637
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1255438537
-
- Hematology & Oncology Physician
- New Hyde Park, NY
- NPI 1003409061
-
- Diagnostic Ultrasound Physician
- New York, NY
- NPI 1003855404
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Union, NJ
- NPI 1992818702
-
- Diagnostic Radiology Physician
- Livingston, NJ
- NPI 1538196027
-
- Diagnostic Radiology Physician
- Paterson, NJ
- NPI 1205923158
-
- Vascular & Interventional Radiology Physician
- Passaic, NJ
- NPI 1164499364
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1891720272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 ELMONT RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034002",
"telephone_number": "516-495-7129",
"fax_number": "516-977-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 ELMONT RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034002",
"telephone_number": "516-495-7129",
"fax_number": "516-977-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "COREY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "MA46748",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "239107",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05219906",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.