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DR. MAXWELL D. WEIDMANN MD, PHD
NPI 1801450655
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 26, 2019PECOS Enrolled
622 W 168TH ST PH 15, NEW YORK, NY 10032(732) 991-1651 Get Directions Write a Review

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maxwell D. Weidmann Md, Phd NPPES

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

DR. MAXWELL D. WEIDMANN MD, PHD (NPI 1801450655) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801450655
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MAXWELL D. WEIDMANNCredential: MD, PHD
Location Address622 W 168TH ST PH 15New York, NY 10032-3720
Mailing Address1935 Eastchester Rd Apt 8fBronx, NY 10461-2188 · (732) 991-1651
Phone(732) 991-1651
Sole ProprietorNo
Enumeration DateApril 26, 2019
✔ NPI 1801450655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
622 W 168TH ST PH 15, New York, NY 10032
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maxwell D. Weidmann Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

FATEMEH DERAKHSHAN MD
Pathology (Anatomic Pathology)
622 W 168TH ST PH 15
NEW YORK, NY 10032
New York County (877) 426-5637
SMITA CHIRAG PATEL
Pathology (Clinical Pathology/Laboratory Medicine)
622 W 168TH ST PH 15
NEW YORK, NY 10032
New York County (212) 305-5697
ELHAM YOUSEFI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
622 W 168TH ST PH 15
NEW YORK, NY 10032
New York County (718) 270-8867
JOSEPH BURT MD
Pathology (Anatomic Pathology & Clinical Pathology)
622 W 168TH ST PH 15
NEW YORK, NY 10032
New York County (212) 305-5697

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 Maxwell Weidmann's NPI number?

The NPI number for Maxwell Weidmann is 1801450655. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Maxwell Weidmann located?

Maxwell Weidmann practices at 622 W 168th St Ph 15, New York, NY 10032. The listed phone number is (732) 991-1651.

What is Maxwell Weidmann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Maxwell Weidmann enrolled in Medicare?

Yes. Maxwell Weidmann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxwell Weidmann was last updated on April 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.