Individual provider Active NPI

Jay B Fisher, MD

  • Vascular Surgery Physician
  • Easton, PA
National Provider Identifier
1295779692
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD032109E Issued in PA
Practice address
3735 Nazareth Rd
Suite 206
Easton, PA 18045-8338
Phone
(610) 252-8281
Fax
(610) 253-5321
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD032109E PA Primary

Addresses

Primary practice location

3735 Nazareth Rd
Suite 206
Easton, PA 18045-8338

Mailing address

3735 Nazareth Rd
Suite 206
Easton, PA 18045-8338
Phone (610) 252-8281

Other identifiers 1

IdentifierTypeStateIssuer
001165829MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050822000112 PA Practitioner - Vascular SurgeryPractitioner - Physical Medicine and Rehabilitation 4981691755 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD032109EPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Aug 6, 2023 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Jul 1, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Gslpg, Inc CurrentSince Nov 11, 2019 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 1, 2016 Accepting new patients
Star Community Health, Inc CurrentSince Aug 6, 2023 Accepting new patients
Progressive Physician Assoc, Inc. Vascular Surgery Past Accepting new patients
Star Community Health, Inc Past Accepting new patients

Locations

798 Hausman Rd
Ste 150
Allentown, PA 18104
Phone (610) 530-1515

511 E 3rd St
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

3735 Nazareth Rd
Ste 206
Easton, PA 18045

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

3000 St Lukes Dr
Quakertown, PA 18951
Phone (215) 538-4500

Interoperability endpoints

  • Direct secure messaging: jay.fisher@slpg.direct-sluhn.org

Organizations & group practices 8

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1295779692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD",
            "address_2": "SUITE 206",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "telephone_number": "610-252-8281",
            "fax_number": "610-253-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD",
            "address_2": "SUITE 206",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458338",
            "telephone_number": "610-252-8281",
            "fax_number": "610-253-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD032109E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001165829",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.