Active NPI
Ellerie Sondra Weissbrot, MD
- Obstetrics & Gynecology Physician
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 274272
- Practice address
- 165 N Village Ave
Suite 204
Rockville Centre, NY 11570-3761 - Phone
- (516) 764-5380
- Fax
- (516) 764-1915
- NPI assigned
- May 17, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 274272 | NY | Primary |
Addresses
Primary practice location
165 N Village Ave
Suite 204
Rockville Centre, NY 11570-3761
Mailing address
165 N Village Ave
Suite 204
Rockville Centre, NY 11570-3761
Phone (516) 764-5380
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eweissbrot230560@nyumc.direct-ci.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- State University of New York Downstate Medical Center, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
70 E Sunrise Hwy
Valley Stream, NY 11581-1233
Phone (516) 536-5656
Hospital & facility affiliations
- Mercy Medical Center
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274272 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Obstetrics & Gynecology | Current | Accepting new patients |
| NYU Langone Hospitals | Past | Accepting new patients | |
| Winthrop Community Medical Affiliates PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
70 E Sunrise Hwy
Ste 515
Valley Stream, NY 11581
Phone (516) 536-5656
70 E Sunrise Hwy
Ste 515E
Valley Stream, NY 11581
Phone (516) 536-5656
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- eweissbrot230560@nyumc.direct-ci.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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Obstetrics & Gynecology
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- Internal Medicine Physician
- Mineola, NY
- NPI 1457873077
Obstetrics & Gynecology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1932469558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"address_2": "SUITE 204",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "516-764-5380",
"fax_number": "516-764-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"address_2": "SUITE 204",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "516-764-5380",
"fax_number": "516-764-1915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSBROT",
"first_name": "ELLERIE",
"middle_name": "SONDRA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "274272",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eweissbrot230560@nyumc.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "165 N Village Ave",
"address_2": "Suite 204",
"city": "Rockville Centre",
"state": "NY",
"country_code": "US",
"postal_code": "115703761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.