Craig M. Fern, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

178025 Issued in NY

Legal business name

CRAIG M. FERN, M.D., P.C.

Practice address

105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3441

Phone

(914) 244-3800

Fax

(914) 244-3596

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig Michael Fern, M.D.NPI 1689644973

Title

Owner

Phone

(914) 244-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: cfern@westchester.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Michael Fern, M.D.

  • Specialist
  • Mount Kisco, NY
  • NPI 1689644973
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063431245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BEDFORD RD",
            "address_2": "SUITE 311",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493441",
            "telephone_number": "914-244-3800",
            "fax_number": "914-244-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BEDFORD RD",
            "address_2": "SUITE 311",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493441",
            "telephone_number": "914-244-3800",
            "fax_number": "914-244-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG M. FERN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-244-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "178025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01719126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Correa, OTR/L
• Francis A Corso, RPH
• Mirna Coto-Chang, LCSW
• Douglas E Cowan, MD
• Stephen Scott Cowan, M.D.
• James Philip Crawford, D.O.
• Nicole Crispinelli, PSY.D
• Korinne Fern Croce X
• Deborah Zimmerman Crosby, LCSW
• David Crowe

• Specialist in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.