Physician Compare National (NPI:1841213014)

HEALTHCARE PROVIDER: ROBERT ALLEN WEISS MD

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

Individual Professional Information
NPI	1841213014
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769538198
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090925000389
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEISS
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	ALLEN
	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	1983
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	108 E 96TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	EAST SUITE
	Group Practice or individual's line 2 address
City	NEW YORK
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	101286217
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9176285615
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330169
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNT SINAI BETH ISRAEL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y