Michael Mark Fishkin, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

121941 Issued in NY

Practice address

2500 Nesconset Hwy
BLDG 7D
Stony Brook, NY 11790-2555

Phone

(631) 751-3322

Fax

(631) 751-3844

NPI assigned

Feb 8, 2006

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mfishkin56253@direct-chsli.net

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1194798454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 7D",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-3322",
            "fax_number": "631-751-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 7D",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-751-3322",
            "fax_number": "631-751-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHKIN",
        "first_name": "MICHAEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "121941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00315320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Fischel, PH.D.
• Margaret E Fischer, RN ANP
• Adrian M Fischl, MD
• Matthew J Fisher, M.D.
• Paul Fisher, M.D.
• Claudia Marie Fishman, R.N.
• Jeffrey A Fishman, D.P.M.
• Debbie Ann Fitzgerald, NURSE PRACTITIONER
• Jennifer Lyn Fitzgibbon, MS RD CDN
• Jeanne Fitzpatrick, RN

• Family Medicine Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.