David P. Fishberg, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01480400 Issued in NJ

Practice address

590 Park Ave
Suite 3a
Freehold, NJ 07728-2380

Phone

(732) 577-0079

Fax

(732) 577-7059

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• David P. Fishberg, DMD, PA

  • General Practice Dentistry
  • Freehold, NJ
  • NPI 1811177363

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306992102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 PARK AVE",
            "address_2": "SUITE 3A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282380",
            "telephone_number": "732-577-0079",
            "fax_number": "732-577-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 PARK AVE",
            "address_2": "SUITE 3A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282380",
            "telephone_number": "732-577-0079",
            "fax_number": "732-577-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBERG",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01480400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Figarola, MD
• Theresa Fildere, LPC
• Carrie Fine, L.C.S.W
• Heiki E Fischbach, LCSW
• James Daniel Fischkoff, MD
• Cori Fiumara, OTD,OTR/L
• David Eric Fixler, PA-C
• Matthew Flamenbaum, D.O.
• Neal L. Fleischman, ED.S.,LMFT
• Mark Flescher, PH.D.

• All providers in Freehold, NJ
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.