Individual provider Active NPI

Mitchell Fishbach, MD

  • Cardiovascular Disease Physician
  • Scarsdale, NY
National Provider Identifier
1063424018
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
135286 Issued in NY
Practice address
688 White Plains Road
Suite 201
Scarsdale, NY 10583-5015
Phone
(914) 722-6300
Fax
(914) 722-2133
NPI assigned
Aug 11, 2006
Last updated
Oct 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 135286 NY Primary

Addresses

Primary practice location

688 White Plains Road
Suite 201
Scarsdale, NY 10583-5015

Mailing address

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 722-6300

Other identifiers 12

IdentifierTypeStateIssuer
01852771MedicaidNY
135286NYOtherLOCAL 1199
6404944010OtherCIGNA
OH4238OtherHEALTH NET
1042055OtherUNITED HEALTHCARE
000000027031OtherGHI HMO
10323OtherCONTRACT MANAGEMENT ORG
66A041OtherNYEMPIRE BLUE CROSS
135286OtherNYHIP
0002600OtherGHI PPO CBP
060015840OtherNYRAILROAD MEDICARE
WS412OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000540 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103905856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135286NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Medical Associates, PC CurrentSince Jan 1, 2015 Accepting new patients
Montefiore Medical Center Cardiovascular Disease CurrentSince Jun 10, 2013 Accepting new patients
White Plains Physician Services PC CurrentSince Jan 1, 2022 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Jan 1, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Jun 10, 2013 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

688 White Plains Rd
Scarsdale, NY 10583
Phone (914) 337-3976

688 White Plains Rd
Ste 2
Scarsdale, NY 10583
Phone (914) 723-3322

688 White Plains Rd
Ste 201
Scarsdale, NY 10583
Phone (914) 722-6300

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1063424018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042901",
            "telephone_number": "914-722-6300",
            "fax_number": "914-682-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 WHITE PLAINS ROAD",
            "address_2": "SUITE 201",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835015",
            "telephone_number": "914-722-6300",
            "fax_number": "914-722-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBACH",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "135286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01852771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOCAL 1199",
            "identifier": "135286NY",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6404944010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "OH4238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1042055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000027031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT MANAGEMENT ORG",
            "identifier": "10323",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "66A041",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "135286",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO CBP",
            "identifier": "0002600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060015840",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.