KEVIN H WEINER, MD, PC
NPI 1083926976
Specialist in Staten Island, NY

Active since July 08, 2010
2071 CLOVE RD, STATEN ISLAND, NY 10304(718) 442-4422(718) 556-3025 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin H Weiner, Md, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN H WEINER, MD, PC (NPI 1083926976) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since July 2010. The organization lists Kevin H Weiner, Physician, as its authorized official.

NPPES Registry Identity

NPI1083926976
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKEVIN H WEINER, MD, PC
Location Address2071 CLOVE RDStaten Island, NY 10304-1671
Mailing Address2071 Clove RdStaten Island, NY 10304-1671 · (718) 442-4422 · Fax (718) 556-3025
Fax(718) 556-3025
Organization SubpartNo
Authorized OfficialKevin H WeinerPhysician · (718) 442-4422
Enumeration DateJuly 8, 2010
✔ NPI 1083926976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 202165
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2071 CLOVE RD, Staten Island, NY 10304

Other Identifiers 2

Medicare UPIN8U0472NY
Medicaid01900229NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin H Weiner, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110926000242Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kevin H Weiner, MD, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Medicine and Rehabilitation
NPI 1124040530
262 NELSON AVE
Staten Island, NY 10308
(718) 442-4422
✔ PECOS5.5 mi
Physical Medicine and Rehabilitation
NPI 1508177197
10 NATHAN D PERLMAN PL 16TH STREET AT 1ST AVENUE
New York, NY 10003
(212) 420-2757
✔ PECOS✔ Accepts Medicare10.0 mi
Nurse Practitioner
NPI 1023880291
12 HDSN VLY PROF PLZ
Newburgh, NY 12550
(845) 561-1581
✔ PECOS64 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin H Weiner, MD, PC's NPI number?

The NPI number for Kevin H Weiner, MD, PC is 1083926976. It was assigned to this organization in the NPPES registry on July 8, 2010.

Where is Kevin H Weiner, MD, PC located?

Kevin H Weiner, MD, PC is located at 2071 Clove Rd, Staten Island, NY 10304. The listed phone number is (718) 442-4422.

What is Kevin H Weiner, MD, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Kevin H Weiner, MD, PC enrolled in Medicare?

Yes. Kevin H Weiner, MD, PC is registered in the Medicare PECOS enrollment system.

When is Kevin H Weiner, MD, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kevin H Weiner, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kevin H Weiner, MD, PC, in Nurse Practitioner and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevin H Weiner, MD, PC was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.