Individual provider Active NPI

Madeleine Esther Fersh, M.D.

  • Psychosomatic Medicine Physician
  • New York, NY
National Provider Identifier
1114123973
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
241613 Issued in NY
Practice address
1275 York Ave
New York, NY 10065-6007
Phone
(646) 888-0029
NPI assigned
Jun 26, 2007
Last updated
May 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 241613 NY Primary

Addresses

Primary practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

112 Plandome CT
Manhasset, NY 11030-1400
Phone (516) 850-5788

Other practice location 1

27005 76th Ave
Staff House, Room 310
New Hyde Park, NY 11040-1402
Phone (718) 470-8960

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
I20100816000102 NY Practitioner - Psychiatry 9537293386 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York at Stony Brook, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MSK NassauGroup PAC ID 8628311685, 100 clinicians
Mskcc Regional NetworkGroup PAC ID 6608765144, 130 clinicians

Practice addresses (Care Compare)

1101 Hempstead Tpke
Uniondale, NY 11553-1112
Phone (212) 639-2000

650 Commack Rd
Commack, NY 11725-5404
Phone (631) 623-4034

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.61 of 100Reported as group
Quality
70.88
Improvement activities
40
Cost
46.27

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
66.91
Improvement activities
40
Cost
71.93

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
71.2
Improvement activities
40
Cost
72.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241613NYMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 4, 2014 Accepting new patients
MSK Nassau CurrentSince Mar 1, 2020 Accepting new patients
Memorial Psychiatry Group CurrentSince Mar 1, 2020 Accepting new patients
Mskcc Regional Network CurrentSince Mar 1, 2020 Accepting new patients
Ralph Lauren Center for Cancer Care and Prevention PastSince Jan 1, 2021 Accepting new patients

Locations

650 Commack Rd
Commack, NY 11725
Phone (631) 623-4000

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

205 E 64th St
New York, NY 10065
Phone (212) 639-3127

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

641 Lexington Ave
Fl 7
New York, NY 10022
Phone (646) 888-0098

1101 Hempstead Tpke
Uniondale, NY 11553
Phone (516) 559-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: mfersh26741@mskcc.direct-ci.com

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 5

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1114123973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PLANDOME CT",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301400",
            "telephone_number": "516-850-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "646-888-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27005 76th Ave",
            "address_2": "Staff House, Room 310",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "718-470-8960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERSH",
        "first_name": "MADELEINE",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "241613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.