Serena Fisher

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F347061-01 Issued in NY

Practice address

171 Ramapo Rd
Garnerville, NY 10923-1552

Phone

(845) 354-7954

NPI assigned

Feb 9, 2021

Last updated

Oct 28, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Care365 LLC

  • Primary Care Clinic/Center
  • Monsey, NY
  • NPI 1437774882
  Medicare reassignment NPD
• Crown Heights Medical, P.C.

  • Multi-Specialty Clinic/Center
  • Monsey, NY
  • NPI 1821210402
  Medicare reassignment NPD
• White Plains Medical Diagnostic Services, PC

  • Internal Medicine Physician
  • Nyack, NY
  • NPI 1689955338
  Medicare reassignment NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1356933527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RAMAPO RD",
            "city": "GARNERVILLE",
            "state": "NY",
            "postal_code": "109231552",
            "telephone_number": "845-354-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SERENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347061-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Djanny Dorsainvil
• Jamie M Ehrenberg
• Roselene Etienne, RN
• Jaclyn Fallon
• Antonio Jose Figueroa
• Sherline Fleury
• Regine Florestal, R.N.
• Dania Francis, NP
• Alexis Francisco, LCSW
• Fubrsig LLC

• Family Nurse Practitioner in Garnerville, NY
• Providers in Garnerville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.