Mark Jeffrey Weinberg, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

042211 Issued in NY

Practice address

387 E Main St
Suite 103
Bay Shore, NY 11706-8413

Phone

(631) 665-5580

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902911993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068413",
            "telephone_number": "631-665-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068413",
            "telephone_number": "631-665-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "MARK",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "042211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Weathers
• Veronica N Webb
• Brittany Lynn Weber, CRNA
• Jenna Ann Weick, LCSW-R
• Erica Weinberg, DMD
• Lenny Weinstein, D.O
• Crystal Wells, NP-C
• Robert Dean Wendt, D.D.S.
• Isaac Edward Wenger, MD
• Jonathon Charles Wenke, FNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• 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.

Verify at the official NPI Registry.