Ardis Beth Fisch, MD
Individual provider Active NPI Addiction Medicine (Family Medicine) Physician · Lee, MA
NPI 1013935659 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1013935659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- License
- 25MA06323200 (NJ)
- Practice address
- 192 Main St
Lee, MA 01238-1616 - Phone
- (413) 822-2096
- Fax
- (413) 243-1458
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Addiction Medicine
- Education
- Indiana University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Barnabas Health Medical Group, PC
Practice addresses (Care Compare)
3301 Route 66
FL 1
Neptune, NJ 07753-2705
Phone (848) 217-2641
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070219000175 | MA | Practitioner - Family Practice |
4082716279 | |
| I20250124001336 | NJ | Practitioner - Addiction Medicine | 4082716279 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3976 | AK | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| Barnabas Health Medical Group PC | Current |
Accepting new patients | |
| Barnabas Health Medical Group, PC | Current |
Accepting new patients |
Locations
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
3301 State Route 66
#B
Neptune, NJ 07753
Phone (732) 455-3870
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 211621 | MA | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 25MA06323200 | NJ | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 25MA06323200 | NJ | Yes |
Addresses
Primary practice location
192 Main St
Lee, MA 01238-1616
Mailing address
760 Fairview St
Lee, MA 01238-9334
Phone (413) 243-3104
Other providers in Lee, MA
- Kaitlynn Drees
- Charly El-Zoghbi
- Amatollah Elsirafy
- Curtis Fecteau
- Alyssa L Felver
- Kimberly Ann Galarneau
- Gateway Physical Therapy and Wellness Corp
- Green Healthcare LLC
- Ramon Guerrero
- Kathleen Ann Hanley
All providers in Lee, MA · Addiction Medicine (Family Medicine) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.