Active NPI
Edward Neil Weissberg, M.D.
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1922199918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D45939
- Practice address
- 6518 Gardenwick Rd
Baltimore, MD 21209-2538 - Phone
- (443) 463-4499
- Fax
- (410) 602-8007
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D45939 | MD | Primary |
Addresses
Primary practice location
6518 Gardenwick Rd
Baltimore, MD 21209-2538
Mailing address
6518 Gardenwick Rd
Baltimore, MD 21209-2538
Phone (443) 463-4499
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 |
|---|---|---|---|
| D45939 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refuah Health Center Inc | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Refuah Health Center, Inc. | Current | Accepting new patients | |
| Baltimore County Dept of Health | Psychiatry | Past | Accepting new patients |
Locations
728 N Main St
New Square, NY 10977
Phone (845) 354-9301
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- edward.weissberg@rhcnys.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1669470019
-
- Federally Qualified Health Center (FQHC)
- Liberty, NY
- NPI 1942903588
-
dba Refuah Health Twin
- Federally Qualified Health Center (FQHC)
- Spring Valley, NY
- NPI 1952678245
-
- Community/Behavioral Health Agency
- Cockeysville, MD
- NPI 1548315799
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922199918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6518 GARDENWICK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092538",
"telephone_number": "443-463-4499",
"fax_number": "410-602-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6518 GARDENWICK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092538",
"telephone_number": "443-463-4499",
"fax_number": "410-602-8007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSBERG",
"first_name": "EDWARD",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D45939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.