Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Sean Weiss

Individual provider Physician Assistant · NPI 1649054164

Tyler Sean Weiss is a Physician Assistant in Manhasset, New York. Qualified in 2023, 3 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3816
Phone: (516) 562-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030754-01 (NY)

Record details

NPI number1649054164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address2499 Farmers Ave, Bellmore, NY 11710-3814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Manhasset