MATTHEW J WEISS (NPI# 1568416618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568416618 |
| Entity Type | Individual |
| Full Name | MATTHEW J WEISS |
| Credential | MD |
| Practice Address |
1111 Marcus Ave New Hyde Park NY 11042 |
| Mailing Address |
Po Box 64563 Baltimore MD 21264-4563 |
| Practice Telephone | 5163212239 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 224660 | MA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
256179 | NY | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
D73814 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2114003 | 05 | |
| MD | 055404900 | 05 | |
| MA | BLUE SHIELD | J29775 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Wolfe St, Baltimore, MD 212870005 | 4109337262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932460763 | Matthew Cortright Weiss | Internal Medicine | 2827 Fort Missoula Rd Bldg 5, Missoula, MT 59804-7408 | 2012-06-07 |
| 1912211186 | Matthew S Weiss | Speech-Language Pathologist | 12915 150th Ave, South Ozone Park, NY 11420-4211 | 2010-07-30 |
| 1487146486 | Matthew Weiss | Student in an Organized Health Care Education/Training Program | 1650 W Harrison St, Chicago, IL 60612-3800 | 2018-06-05 |
| 1275023277 | Matthew Weiss | Internal Medicine | 600 Highland Ave, Madison, WI 53792-0001 | 2018-05-15 |
| 1164872214 | Matthew Lee Weiss | Dentist | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2016-06-20 |
| 1417380320 | Matthew Ryan Weiss | Physical Therapist | 155 Printers Pkwy, #125, Colorado Springs, CO 80910-6100 | 2013-08-14 |
| 1841439254 | Matthew Joseph Weiss | Ophthalmology | 950 Nw 13th St, Boca Raton, FL 33486-2310 | 2009-02-09 |
| 1811068364 | Matthew Brian Weiss | Chiropractor | 6915 Austin St, Forest Hills, NY 11375-4238 | 2006-11-13 |
| 1982712717 | Matthew Jay Weiss | Internal Medicine | 9463 Holly Rd, Suite 103, Grand Blanc, MI 48439 | 2006-08-29 |
| 1205829967 | Matthew D. Weiss | Internal Medicine | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2005-08-29 |
| Street Address |
1111 MARCUS AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144205477 | Noah D Kauff | Obstetrics & Gynecology | 1111 Marcus Ave, New Hyde Park, NY 11042-1221 | 2005-12-09 |
| 1467893420 | Simone Jhaveri | Pediatrics | 1111 Marcus Ave, New Hyde Park, NY 11042-1221 | 2013-07-07 |
| 1447528195 | Martine Blanchard Dobrescu | Nurse Practitioner | 1111 Marcus Ave, Suite Ll20, New Hyde Park, NY 11042-1221 | 2011-12-08 |
| 1083919203 | Chandra Laikha Dookran | Nurse Practitioner | 1111 Marcus Ave, Suite Ll20, New Hyde Park, NY 11042-1034 | 2011-01-19 |
| 1720310378 | Mohammad A Harun | Pharmacist | 1111 Marcus Ave, New Hyde Park, NY 11042-1034 | 2010-02-08 |
| 1588996128 | Avelina Monzon | Pharmacist | 1111 Marcus Ave, Monter Cancer Center, New Hyde Park, NY 11042-1034 | 2010-02-08 |
| 1548596497 | Critical Care Nursing Agency, LLC | Home Health | 1111 Marcus Ave, Suite # 100, New Hyde Park, NY 11042-1034 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891051272 | Cindy Cen | Surgery | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992334379 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Fl 3, Carmel, NY 10512-3997 | 2020-04-07 |
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1336620004 | Jianhong Winson Tan | Surgery | 1233 York Ave Apt 20n, New York, NY 10065-6342 | 2018-08-22 |
| 1306348610 | Health Quest Medical Practice, PC | Surgery | 670 Stoneleigh Ave Ste C126, Carmel, NY 10512-3997 | 2018-03-02 |
| 1316286404 | Harold O Douglass Jr. | Surgery | 72 Andover Ln, Williamsville, NY 14221-3309 | 2013-02-08 |
| 1811246382 | Iain James Nixon | Surgery | 1378 York Ave, Apt 1c, New York, NY 10021-3415 | 2012-08-30 |
| 1578819595 | Dong Kyu Kim | Surgery | 118 Foxwood Dr, Jericho, NY 11753-1116 | 2012-07-27 |
| 1881965903 | William Mahoney | Surgery | 15 Eileen's Path, Box 2738, East Hampton, NY 11937 | 2012-01-20 |
| 1649551953 | Manuela J Junqueira | Surgery | 303 E 60th St Apt 24f, New York, NY 10022-1523 | 2011-08-31 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.