Conall Fitzgerald, MB BCH MCH MSC FRCS

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

105765-01 Issued in NY

Practice address

1275 York Ave Dept Head
New York, NY 10065-6007

Phone

(212) 639-2000

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1093328874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 1ST AVE APT 1806",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214838",
            "telephone_number": "212-288-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE DEPT HEAD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CONALL",
        "name_prefix": "Dr.",
        "credential": "MB BCH MCH MSC FRCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "105765-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Fitz
• John Fitzcharles, RPH.
• Brandon Michael Fitzgerald, DMD
• Brittany Lynn Fitzgerald, NP
• Cathlin Fitzgerald, PT, DPT
• Daniel William Fitzgerald
• Eileen Frances Fitzgerald, PH.D.
• Elizabeth A Fitzgerald
• Emily Ashurst Fitzgerald, AGACNP-BC
• Erin Fitzgerald, RD

• Otolaryngology Physician in New York, NY
• Providers in New York, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.