Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104010487 Individual Practitioner Male Practitioner

Dr. Jonathan M Weiss , DDS

Dentist - General Practice • Newburgh, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Weiss, DDS is a registered healthcare professional specializing in Dentist - General Practice in Newburgh, NY. Practice services are available at 136 LAKE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

136 Lake St
Suite 11

Newburgh, NY 125505245

Telephone 8455651677
Fax 8455655377
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Newburgh, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Newburgh, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 10131-1

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ny License
031081 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 24, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2007

Registered at 136 LAKE ST, SUITE 11, NEWBURGH, NY 125505245 (Tel: 8455651677)

📍
Updated Business Mailing Address October 24, 2007

Registered at 415 N GRAND AVE, PUEBLO, CO 810033111 (Tel: 7195624461)

👤
Provider Name / Credentials Updated October 24, 2007

Recorded as JONATHAN WEISS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2007

Dentist (License #10131-1 in NY)

🟢
Initial NPI Registration & Enumeration August 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104010487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2007
Last Update: October 24, 2007
Sole Proprietor: Yes

Mailing Address

415 N Grand Ave

Pueblo, CO 810033111

Phone: 7195624461

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.