Organization Active NPI

Bradley M Fischman

  • Customized Equipment (DME)
  • Great Neck, NY
National Provider Identifier
1023459021
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
28787 Issued in NY
Legal business name
BRADLEY M FISCHMAN
Practice address
233 E Shore Rd
Suite 110
Great Neck, NY 11023-2436
Phone
(516) 482-5924
NPI assigned
Jul 8, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Bradley M FischmanNPI 1417039421
Title
Prosthodontist
Phone
(516) 482-5924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 28787 NY Primary

Addresses

Primary practice location

233 E Shore Rd
Suite 110
Great Neck, NY 11023-2436

Mailing address

233 E Shore Rd
Suite 110
Great Neck, NY 11023-2436

National Provider Directory

National Provider Directory

Locations

233 E Shore Rd
Great Neck, NY 11023
Phone (516) 482-7810

233 E Shore Rd
Ste 110
Great Neck, NY 11023
Phone (516) 304-5486

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1023459021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E SHORE RD",
            "address_2": "SUITE 110",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232436",
            "telephone_number": "516-482-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY M FISCHMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "FISCHMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "516-482-5924"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "28787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.