Individual provider Active NPI

Stacey F Weiss, MD

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1902894116
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
222294 Issued in NY
Practice address
115 1/2 Remsen Street
Brooklyn, NY 11201-4212
Phone
(718) 852-4949
Fax
(718) 624-5972
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 222294 NY Primary

Addresses

Primary practice location

115 1/2 Remsen Street
Brooklyn, NY 11201-4212

Mailing address

115 1/2 Remsen Street
Brooklyn, NY 11201-4212
Phone (718) 852-4949

Other identifiers 1

IdentifierTypeStateIssuer
02712976MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504001083 NY Practitioner - NephrologyPractitioner - Internal Medicine 3971543349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Yale University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heights Nephrology Medical Group PCGroup PAC ID 8729979166, 5 clinicians

Practice addresses (Care Compare)

115 /2 Remsen St
Brooklyn, NY 11201-4212
Phone (718) 852-4949

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Heights Nephrology Medical Group, PC Nephrology CurrentSince Oct 19, 2009 Accepting new patients
Morningside Medical Practice, P.C. Nephrology Past Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

595 Degraw St
Brooklyn, NY 11217
Phone (718) 852-0197

550 Kingston Ave
Brooklyn, NY 11203
Phone (718) 221-5342

340 Henry St
Brooklyn Heights, NY 11201
Phone (718) 780-1469

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1902894116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 1/2 REMSEN STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014212",
            "telephone_number": "718-852-4949",
            "fax_number": "718-624-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1/2 REMSEN STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014212",
            "telephone_number": "718-852-4949",
            "fax_number": "718-624-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "STACEY",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "222294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02712976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.