Individual provider Active NPI

Ira S Fisher, D.C.

  • Chiropractor
  • Westbury, NY
National Provider Identifier
1013908284
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004595-1 Issued in NY
Practice address
355 Post Ave
Westbury, NY 11590-2265
Phone
(516) 333-3253
Fax
(516) 333-8452
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004595-1 NY Primary

Addresses

Primary practice location

355 Post Ave
Westbury, NY 11590-2265

Mailing address

32 Cedar Ridge LN
Dix Hills, NY 11746-7941
Phone (631) 462-5446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000147 NY Practitioner - Chiropractic 1557542206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westbury Medical Care PCGroup PAC ID 7315859998, 3 clinicians

Practice addresses (Care Compare)

355 Post Ave
Westbury, NY 11590-2265
Phone (516) 333-3253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004595-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Westbury Medical Care, P.C. CurrentSince Jan 1, 2000 Accepting new patients

Locations

355 Post Ave
Ste 100
Westbury, NY 11590
Phone (516) 333-3253

355 Post Ave
Westbury, NY 11590
Phone (516) 333-3253

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1013908284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CEDAR RIDGE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467941",
            "telephone_number": "631-462-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902265",
            "telephone_number": "516-333-3253",
            "fax_number": "516-333-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "IRA",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004595-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.