Weiss, Matthew J

Weiss, Matthew J is an individual health care provider with primary practice located at 1111 Marcus Ave , New Hyde Park NY 11042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Weiss, Matthew J can be contacted via phone (516) 321-2239.

Contact Information

Primary practice address
1111 Marcus Ave New Hyde Park NY 11042
Phone: (516) 321-2239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 224660 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X D73814 Maryland
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 256179 New York

Profile Details

NPI number 1568416618
LBN Legal business name Weiss, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Feb 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568416618 NPPES
Massachusetts MEDICAID 2114003
Massachusetts Other J29775
Massachusetts MEDICAID 055404900

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