Organization Active NPI

David J Weissberg, MD, PC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Melville, NY
National Provider Identifier
1962041848
Registry record updated Dec 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
DAVID J WEISSBERG, MD, PC
Practice address
535 Broadhollow Rd Ste A24
Melville, NY 11747-3725
Phone
(631) 393-6700
Fax
(631) 414-7442
NPI assigned
Dec 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2019

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

Authorized official

Name
David Jay Weissberg, MDNPI 1720013097
Title
President
Phone
(631) 351-0295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

535 Broadhollow Rd Ste A24
Melville, NY 11747-3725

Mailing address

535 Broadhollow Rd Ste A24
Melville, NY 11747-3725
Phone (631) 393-6700

National Provider Directory

National Provider Directory

Locations

535 Broadhollow Rd
Ste A24
Melville, NY 11747
Phone (631) 393-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577232000000",
    "number": "1962041848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 BROADHOLLOW RD STE A24",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473725",
            "telephone_number": "631-393-6700",
            "fax_number": "631-414-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 BROADHOLLOW RD STE A24",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473725",
            "telephone_number": "631-393-6700",
            "fax_number": "631-414-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J WEISSBERG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A",
        "authorized_official_last_name": "WEISSBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-351-0295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.