Physician Compare National (NPI:1740202035)

HEALTHCARE PROVIDER: PETER JOSHUA WEINGOLD M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1740202035
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921266313
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120222000119
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEINGOLD
	Individual professional last name
Provider First Name	PETER
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	12840 RIVERSIDE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	VALLEY VILLAGE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	916073343
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y