Healthcare Provider Details

I. General information

NPI: 1972524759
Provider Name (Legal Business Name): MELISSA WEINTRAUB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BEDFORD RD
KATONAH NY
10536-2115
US

IV. Provider business mailing address

PO BOX 95000-8363 OPTUM MEDICAL CARE PC
PHILADELPHIA PA
19195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 914-232-3135
  • Fax: 914-232-7588
Mailing address:
  • Phone: 914-241-1050
  • Fax: 914-455-2980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number198305
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number198305
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: