Active NPI
Jeffrey Scott Fine, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1255387965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 170866
- Practice address
- 423 E 23Rd St
New York, NY 10010-5011 - Phone
- (212) 686-7500
- Fax
- (212) 951-3336
- NPI assigned
- May 25, 2006
- Last updated
- Jul 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 170866 | NY | Primary |
Addresses
Primary practice location
423 E 23Rd St
New York, NY 10010-5011
Mailing address
225 E 36TH St
Apt # 2N
New York, NY 10016-3670
Phone (917) 647-3676
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090528000392 | NY | Practitioner - Psychiatry | 2567511280 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Icahn School of Medicine at Mount Sinai, 1982
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
302 5TH Ave
Suite 816
New York, NY 10001-3604
Phone (917) 647-3676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Eye Plastics MD PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1801220256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468022400000",
"number": "1255387965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E 36TH ST",
"address_2": "APT # 2N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163670",
"telephone_number": "917-647-3676",
"fax_number": "212-951-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 E 23RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105011",
"telephone_number": "212-686-7500",
"fax_number": "212-951-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2016-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "170866",
"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 Jul 9, 2016; 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.
- 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.