Ilja J Weinrieb MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

134156 Issued in NY

Legal business name

ILJA J WEINRIEB MD PC

Practice address

1150 Youngs Rd
Suite 205
Williamsville, NY 14221

Phone

(716) 636-9056

Fax

(716) 636-9750

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ilja Julius Weinrieb, MD

Title

Pres

Phone

(716) 636-9056

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1932201829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 205",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-636-9056",
            "fax_number": "716-636-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 205",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-636-9056",
            "fax_number": "716-636-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILJA J WEINRIEB MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WEINRIEB",
        "authorized_official_first_name": "ILJA",
        "authorized_official_middle_name": "JULIUS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "716-636-9056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "134156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000507599003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "2300804",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith M Hyatt, PHARM.D.
• Korbi Hyde-Murphey, RN, RNFA
• Ian M Frankfort MD, Stuart Rubin MD and Daniel J McMahon MD
• Ida Campagna M.D.
• Amrutha Idupuganti, MD
• Kevin Chibouzo Ilo, M.D.
• Jessica Page Ilunga, LMHC
• Infinity Eye OD PLLC
• Infinity Medical of Wny PC
• Elizabeth Mae Ingalls, OTR

• Gastroenterology Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.