Active NPI
George Weintraub, DPM
- Podiatrist
- New York, NY
National Provider Identifier
1932290301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003822
- Practice address
- 57 W 93Rd St
Apt 6C
New York, NY 10025-7665 - Phone
- (212) 864-3619
- Fax
- (212) 402-1752
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003822 | NY | Primary |
Addresses
Primary practice location
57 W 93Rd St
Apt 6C
New York, NY 10025-7665
Mailing address
57 W 93Rd St
Apt 6C
New York, NY 10025-7665
Phone (212) 864-3619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00888739 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003822 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor Medical of Ny PC | Past | Accepting new patients |
Organizations & group practices 1
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
- Bronx, NY
- NPI 1831140722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1932290301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 W 93RD ST",
"address_2": "APT 6C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257665",
"telephone_number": "212-864-3619",
"fax_number": "212-402-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 W 93RD ST",
"address_2": "APT 6C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100257665",
"telephone_number": "212-864-3619",
"fax_number": "212-402-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "GEORGE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00888739",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.