Individual provider Active NPI

Frank Fish, MD

  • Cardiovascular Disease Physician
  • Browns Mills, NJ
National Provider Identifier
1265409817
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA02749700 Issued in NJ
Practice address
200 Trenton Rd.
Browns Mills, NJ 08015-1705
Phone
(609) 893-6611
Fax
(609) 735-1856
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA02749700 NJ Primary

Addresses

Primary practice location

200 Trenton Rd.
Browns Mills, NJ 08015-1705

Mailing address

200 Trenton Rd.
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

Other identifiers 4

IdentifierTypeStateIssuer
2040506MedicaidNJ
BNS056OtherOXFORD
F01232OtherHEALTHNET
0004090785OtherAETNA

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050816001100 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335179621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as group
Quality
96.63
Promoting interoperability
99
Improvement activities
40
Cost
81.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Heart and Lung Center Current Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Nov 1, 2010 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients

Locations

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

Interoperability endpoints

  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1265409817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD.",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "609-893-6611",
            "fax_number": "609-735-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD.",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151705",
            "telephone_number": "609-893-6611",
            "fax_number": "609-735-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02749700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040506",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BNS056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F01232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004090785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Mills, NJ

Sources for this page

Verify at the official NPI Registry.