Organization Active NPI

Scott Adam Weiss MD PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Hempstead, NY
National Provider Identifier
1992201222
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
221406 Issued in NY
Legal business name
SCOTT ADAM WEISS MD PC
Practice address
672 Harless PL
West Hempstead, NY 11552-3504
Phone
(917) 656-6386
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Scott Weiss, MDNPI 1043352982
Title
Owner
Phone
(917) 656-6386

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
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 221406 NY Primary

Addresses

Primary practice location

672 Harless PL
West Hempstead, NY 11552-3504

Mailing address

672 Harless PL
West Hempstead, NY 11552-3504

Other practice location 1

400 E 66th St
New York, NY 10065-9314
Phone (516) 883-7100

Other practice location 2

61 E 77th St
New York, NY 10075-1817
Phone (516) 883-7100

Other practice location 3

144 4th Ave
New York, NY 10003-4901
Phone (516) 883-7100

Other identifiers 1

IdentifierTypeStateIssuer
03069761MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180417001399 NY Part B Supplier - Clinic/Group Practice 0244593697 Receives reassigned benefits from 1 practitioner
Practice locations: West Hempstead, NY

National Provider Directory

National Provider Directory

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": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1992201222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 HARLESS PL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 HARLESS PL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523504",
            "telephone_number": "917-656-6386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 66th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100659314",
            "country_code": "US",
            "telephone_number": "516-883-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 E 77th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751817",
            "country_code": "US",
            "telephone_number": "516-883-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 4th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100034901",
            "country_code": "US",
            "telephone_number": "516-883-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTT ADAM WEISS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-656-6386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "221406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03069761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.