Active NPI
Joel Bruce Fieldman MD P.C.
- Anesthesiology Physician
- Roslyn Heights, NY
National Provider Identifier
1174719769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 193719
- Legal business name
- JOEL BRUCE FIELDMAN MD P.C.
- Practice address
- 40 Turf LN
Roslyn Heights, NY 11577-2738 - Phone
- (718) 416-4389
- Fax
- (718) 416-3652
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leticia Cotto
- Title
- Adminstrator
- Phone
- (718) 416-4389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 193719 | NY | Primary |
Addresses
Primary practice location
40 Turf LN
Roslyn Heights, NY 11577-2738
Mailing address
40 Turf LN
Roslyn Heights, NY 11577-2738
Phone (718) 416-4389
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G100080710 | Other | NY | MEDICARE PTAN |
| A100078038 | Other | NY | MEDICARE PTAN |
| 0154T1 | Other | NY | MEDICARE PIN OTHER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
11204 Queens Blvd
Forest Hills, NY 11375
Phone (718) 263-6083
18904 Union Tpke
Fresh Meadows, NY 11366
Phone (718) 217-1414
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Roslyn HTS, NY
- NPI 1912068008
-
- Anesthesiology Physician
- New York, NY
- NPI 1972559425
-
- Gastroenterology Physician
- New Hyde Park, NY
- NPI 1417991803
-
- Anatomic Pathology & Clinical Pathology Physician
- Levittown, NY
- NPI 1417946781
-
- Gastroenterology Physician
- Forest Hills, NY
- NPI 1679592083
-
- Registered Dietitian
- Dix Hills, NY
- NPI 1033224456
-
- Gastroenterology Physician
- Valley Stream, NY
- NPI 1255436499
-
- Gastroenterology Physician
- New York, NY
- NPI 1003945080
-
- Gastroenterology Physician
- Valley Stream, NY
- NPI 1962505909
-
- Gastroenterology Physician
- Utica, NY
- NPI 1528233756
-
- Gastroenterology Physician
- Valley Stream, NY
- NPI 1235158585
-
- Gastroenterology Physician
- Valley Stream, NY
- NPI 1043239387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384905600000",
"number": "1174719769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TURF LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772738",
"telephone_number": "718-416-4389",
"fax_number": "718-416-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TURF LN",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115772738",
"telephone_number": "718-416-4389",
"fax_number": "718-416-3652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOEL BRUCE FIELDMAN MD P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2013-11-20",
"status": "A",
"authorized_official_last_name": "COTTO",
"authorized_official_first_name": "LETICIA",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "718-416-4389",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NY",
"license": "193719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G100080710",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A100078038",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN OTHER",
"identifier": "0154T1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.