Serena Victoria Ferguson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1507041 Issued in NY

Practice address

75 Morton St
New York, NY 10014-5750

Phone

(917) 574-6604

Fax

(212) 229-3089

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tennessee Urgent Care Associates, LLC

  • Urgent Care Clinic/Center
  • Nashville, TN
  • NPI 1548258825
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1295932226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MORTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100145750",
            "telephone_number": "917-574-6604",
            "fax_number": "212-229-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MORTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100145750",
            "telephone_number": "917-574-6604",
            "fax_number": "212-229-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SERENA",
        "middle_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "1507041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00790565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Ferguson, MSW
• Megan Ferguson, PA-C
• Michael Brian Ferguson, BA,DMD,CAGS
• Rebekah Ferguson, LMHC
• Scott D. Ferguson, LCSW
• Shaina Ferguson, MS, LMSW
• Shannon Ferguson, MS
• Shelagh Ferguson, P.T.
• Sheldon Othneil Ferguson, MD
• Stuart John Ross Ferguson, MBBS

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.