Active NPI
David Fox, MD, PC
- Vascular Surgery Physician
- New York, NY
National Provider Identifier
1013240316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 190363
- Legal business name
- DAVID FOX, MD, PC
- Practice address
- 1045 Park Ave
New York, NY 10028-1030 - Phone
- (212) 362-3470
- NPI assigned
- Sep 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Fox, M.D.
- Title
- President
- Phone
- (212) 362-3470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 190363 | NY | |
| Vascular Surgery Physician | 2086S0129X | 190363 | NY | Primary |
Addresses
Primary practice location
1045 Park Ave
New York, NY 10028-1030
Mailing address
1045 Park Ave
New York, NY 10028-1030
Phone (212) 362-3470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01892846 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- New York, NY
- NPI 1184762718
-
- Primary Care Nurse Practitioner
- Spring Valley, NY
- NPI 1225575202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1013240316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281030",
"telephone_number": "212-362-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100281030",
"telephone_number": "212-362-3470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID FOX, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-17",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-362-3470",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "NY",
"license": "190363",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "190363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01892846",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.