Individual provider Active NPI

Mordechai Mark Weinreb, FNP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1972894426
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345072 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
May 2, 2011
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 640880 NY
Family Nurse Practitioner 363LF0000X F345072 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1436 Williamsbridge Rd
Bronx, NY 10461-2507
Phone (718) 618-0401

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200129000086 NY Practitioner - Nurse Practitioner 4183050826 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avalon Medical Center, LLCGroup PAC ID 2769827179, 12 clinicians

Practice addresses (Care Compare)

121 Executive Dr
Suite 200
New Windsor, NY 12553-5544
Phone (845) 407-0770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
640880NYMDRegistered Nurse
F345072NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Medical Center, LLC CurrentSince Aug 1, 2024 Accepting new patients
Kahr Health LLC CurrentSince Dec 1, 2021 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 3, 2019 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 3, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 3, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2021 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Dec 3, 2019 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 3, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2021 Accepting new patients

Locations

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1436 Williamsbridge Rd
Bronx, NY 10461
Phone (646) 759-5453

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2015 Grand Concourse
#13202
Bronx, NY 10453

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

421 Route 59
Monsey, NY 10952
Phone (718) 694-9000

421 Route 59
Ste 1H
Monsey, NY 10952

121 Executive Dr
Ste 200
New Windsor, NY 12553
Phone (845) 407-0770

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1972894426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINREB",
        "first_name": "MORDECHAI",
        "middle_name": "MARK",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "640880",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.