IndividualActive
Jonathan Weiss, DDS
NPI 1104010487 · General Practice Dentistry · Newburgh, NY
Provider details
- NPI number
- 1104010487
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10131-1 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
136 Lake St
Suite 11
Newburgh, NY 12550-5245
Phone: (845) 565-1677
Fax: (845) 565-5377
Street-level locationGet directions
Mailing address
415 N Grand Ave
Pueblo, CO 81003-3111
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2007-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.