Robert Fisch MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

153997 Issued in NY

Legal business name

ROBERT FISCH MD PC

Practice address

2280 Grand Ave
Suite 201a
Baldwin, NY 11510-3164

Phone

(516) 255-0600

Fax

(516) 378-1606

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Robert Fisch, MD

Title

Owner

Phone

(516) 255-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1053630129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE",
            "address_2": "SUITE 201A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103164",
            "telephone_number": "516-255-0600",
            "fax_number": "516-378-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE",
            "address_2": "SUITE 201A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103164",
            "telephone_number": "516-255-0600",
            "fax_number": "516-378-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT FISCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-255-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "153997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Aquila Richards, LMSW
• Berthony Riche
• Debra Sue Riddell, LCSW
• Allyson Rieger, LCSW
• Jessica Rios
• Ayanna Robertson, MHC-LP
• Rashanda Ashley Roddy, LMSW
• Julissa Rodriguez
• Raymond Rogers, PT
• Kathleen Rohn, ATC

• Specialist in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.