Individual provider Active NPI

Daniel Fenster, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1205906336
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004080-1 Issued in NY
Practice address
30 E 60TH St
Suite 302
New York, NY 10022-1008
Phone
(212) 737-9000
Fax
(212) 223-5700
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004080-1 NY Primary

Addresses

Primary practice location

30 E 60TH St
Suite 302
New York, NY 10022-1008

Mailing address

30 East 60 Street
302
New York, NY 10022-7102
Phone (212) 737-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000114 NY Practitioner - Chiropractic 1658455860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Wellness Medical PCGroup PAC ID 2567786486, 5 clinicians

Practice addresses (Care Compare)

551 Madison Ave
Suite 1201
New York, NY 10022-3390
Phone (212) 737-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004080-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wellness Medical PC Chiropractor CurrentSince Dec 10, 2014 Accepting new patients
Fenster Chiropractic,PC Chiropractor Past Accepting new patients
Brian Mayrsohn MD PLLC PastSince Oct 16, 2023 Accepting new patients

Locations

551 Madison Ave
Ste 1201
New York, NY 10022
Phone (212) 737-0000

30 E 60th St
Rm 302
New York, NY 10022
Phone (212) 737-9000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1205906336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EAST 60 STREET",
            "address_2": "302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100227102",
            "telephone_number": "212-737-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST",
            "address_2": "SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221008",
            "telephone_number": "212-737-9000",
            "fax_number": "212-223-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSTER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004080-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.