1316027030 NPI number — DR. PAUL DAVID WEINSTEIN MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316027030 NPI number — DR. PAUL DAVID WEINSTEIN MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

WEINSTEIN

Provider First Name:

PAUL

Provider Middle Name:

DAVID

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1316027030

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

11/18/2013

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2700 WESTCHESTER AVE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

PURCHASE

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10577-2547

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

914-682-6538

Provider Business Mailing Address Fax Number:

914-457-1583

Provider First Line Business Practice Location Address:

1075 CENTRAL PARK AVENUE

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

SCARSDALE

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10583-3242

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

914-725-6688

Provider Business Practice Location Address Fax Number:

914-725-6860

Provider Enumeration Date:

10/17/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207R00000X , with the licence number:  164817 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 207RC0200X , with the licence number: 164817 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207RP1001X , with the licence number: 164817 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 70F791 . This is a "EMPIRE BCBS OF NY" identifier . This identifiers is of the category "OTHER".
• Identifier: 561130 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 01808584 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 133598462 . This is a "CONSUMER HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
• Identifier: 133598462 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
• Identifier: 1C8612 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
• Identifier: P010164817 . This is a "CORE SOURCE" identifier . This identifiers is of the category "OTHER".
• Identifier: WP371 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
• Identifier: 133598462 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: 290003844 . This is a "RR MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".