Individual provider Active NPI

Marc Fenster, MD

  • Gastroenterology Physician
  • Cedarhurst, NY
National Provider Identifier
1144751595
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
302653 Issued in NY
Practice address
657 Central Ave
Cedarhurst, NY 11516-2320
Phone
(516) 374-5570
NPI assigned
Mar 27, 2017
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 302653 NY Primary

Addresses

Primary practice location

657 Central Ave
Cedarhurst, NY 11516-2320

Mailing address

657 Central Ave
Cedarhurst, NY 11516-2320
Phone (516) 374-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230601002124 NY Practitioner - Internal Medicine 6305186156 Reassigns benefits to 2 organizations
I20240209000102 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6305186156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Five Towns GastroenterologyGroup PAC ID 2668690470, 3 clinicians
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Sep 17, 2023 Accepting new patients
Montefiore Medical Center Gastroenterology CurrentSince Dec 18, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Dec 18, 2023 Accepting new patients
Five Towns Gastroenterology Gastroenterology CurrentSince Mar 1, 2023 Accepting new patients
Episcopal Health Services Inc Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

657 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-0670

657 Central Ave
Ste 2
Cedarhurst, NY 11516
Phone (516) 295-9566

1909 Plainview Ave
Far Rockaway, NY 11691
Phone (718) 869-7690

1920 Brookhaven Ave
Far Rockaway, NY 11691
Phone (718) 347-3627

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCJICD/Endpoint/DCJICD
  • Direct secure messaging: marc.fenster.1@14448.direct.athenahealth.com
  • Direct secure messaging: marfenst@montefioredirect.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 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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1144751595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162320",
            "telephone_number": "516-374-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 CENTRAL AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162320",
            "telephone_number": "516-374-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSTER",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "302653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.