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

Active since July 08, 2010CLIA 33D1090279 · Waiver
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: July 26, 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 holds a CLIA Waiver certificate valid through October 6, 2026 and 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
Phone(718) 442-4422
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
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1090279

Kevin H Weiner MD · Staten Island, NY
Active · expires Oct 6, 2026
CLIA Number33D1090279
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorDr. Kevin H. Weiner
Laboratory Phone(718) 442-4422
Laboratory LocationKevin H Weiner MD963 Post Avenue, Staten Island, NY 10302
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRASMERE SLEEP LAB CORP
Internal Medicine (Sleep Medicine)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 442-2221
DR. JAY B. BASILLOTE M.D.
Specialist
2071 CLOVE RD, SUITE J
STATEN ISLAND, NY 10304
Richmond County (347) 774-8386
BG MEDICAL AND DIAGNOSTIC PC
Radiology (Diagnostic Ultrasound)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 442-5550
STATEN ISLAND MEDICAL GROUP, PLLC
Clinic/Center (Ambulatory Surgical)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 391-0303
RICHMOND IMAGING CORP
Radiology (Diagnostic Radiology)
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 442-2221
CHARLES DEMARCO
Orthopaedic Surgery
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (718) 987-1947
MRS. LORI GONZALO RPA-C
Physician Assistant (Medical)
2071 CLOVE RD, GRASMERE MEDICAL PAVILLION
STATEN ISLAND, NY 10304
Richmond County (718) 442-5550
SAINT MARY PHYSICAL THERAPY P.C.
Specialist
2071 CLOVE RD
STATEN ISLAND, NY 10304
Richmond County (917) 545-9249

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.

Does Kevin H Weiner, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1090279) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.