Active NPI
Phillip Michael John Fleming, NYCPS-P-3522
- Peer Specialist
- Geneva, NY
National Provider Identifier
1285411991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- NYCPS-P-3522
- Practice address
- 500 Pulteney Street
Apt. 22
Geneva, NY 14456-3143 - Phone
- (315) 878-3877
- NPI assigned
- Sep 14, 2023
- Last updated
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CRPA-3588 | NY | |
| Peer Specialist | 175T00000X | NYCPS-P-3522 | NY | Primary |
Addresses
Primary practice location
500 Pulteney Street
Apt. 22
Geneva, NY 14456-3143
Mailing address
500 Pulteney St Apt 22
Geneva, NY 14456-3143
Phone (315) 878-3788
Other practice location 1
411 Bronx River Rd Apt 8M
Yonkers, NY 10704-3458
Phone (914) 400-7566
Other practice location 2
411 Bronx River Rd
Yonkers, NY 10704-3446
Phone (914) 452-0493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CRPA-3588 | Other | NY | CERTIFIED RECOVERY PEER ADVOCATE |
| NYCPS-P-3522 | Other | NY | CERTIFIED PEER SPECIALIST |
Other names 1
- Dr. Phillip Michael John Fleming
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRPA-3588 | NY | MD | Peer Specialist |
| NYCPS-P-3522 | NY | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Now, LLC | 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.
-
- Social Worker
- Yonkers, NY
- NPI 1134822000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1285411991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PULTENEY ST APT 22",
"city": "GENEVA",
"state": "NY",
"postal_code": "144563143",
"telephone_number": "315-878-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PULTENEY STREET",
"address_2": "APT. 22",
"city": "GENEVA",
"state": "NY",
"postal_code": "144563143",
"telephone_number": "315-878-3877"
}
],
"practiceLocations": [
{
"address_1": "411 Bronx River Rd Apt 8M",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107043458",
"country_code": "US",
"telephone_number": "914-400-7566",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Bronx River Rd",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107043446",
"country_code": "US",
"telephone_number": "914-452-0493",
"fax_number": "914-221-0071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "PHILLIP",
"middle_name": "MICHAEL JOHN",
"credential": "NYCPS-P-3522",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-14",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "CRPA-3588",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "NYCPS-P-3522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED RECOVERY PEER ADVOCATE",
"identifier": "CRPA-3588",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PEER SPECIALIST",
"identifier": "NYCPS-P-3522",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PHILLIP",
"last_name": "FLEMING",
"middle_name": "MICHAEL JOHN",
"prefix": "DR.",
"credential": "HON. D. DIV.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Geneva, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.