Individual provider Active NPI

John F Fisher, MD

  • Internal Medicine Physician
  • Sussex, NJ
National Provider Identifier
1073583720
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04056400 Issued in NJ
Practice address
16 E Main St
John F Fisher MD PA
Sussex, NJ 07461
Phone
(973) 875-3646
Fax
(973) 875-2021
NPI assigned
Jan 25, 2006
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04056400 NJ Primary

Addresses

Primary practice location

16 E Main St
John F Fisher MD PA
Sussex, NJ 07461

Mailing address

16 E Main St
Sussex, NJ 07461
Phone (973) 875-3646

Other identifiers 1

IdentifierTypeStateIssuer
1391208MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20051019000252 NJ Practitioner - Internal Medicine 7810913886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 E Main St
Sussex, NJ 07461-2110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04056400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Access Medical Diagnostics NJ LLC PastSince Aug 15, 2012 Accepting new patients
Ahs Hospital Corp Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: johnfisher@jffmdpa.allscriptsdirect.net

Organizations & group practices 3

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 4

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1073583720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E MAIN ST",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "07461",
            "telephone_number": "973-875-3646",
            "fax_number": "973-875-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E MAIN ST",
            "address_2": "JOHN F FISHER MD PA",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "07461",
            "telephone_number": "973-875-3646",
            "fax_number": "973-875-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04056400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, NJ

Sources for this page

Verify at the official NPI Registry.