Individual provider Active NPI

Renee Altman Fleischer, MD

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1376766436
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-088195 Issued in NY
Practice address
117 Hicks LN
Great Neck, NY 11024-2104
Phone
(516) 466-8428
Fax
(516) 466-8568
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-088195 NY Primary

Addresses

Primary practice location

117 Hicks LN
Great Neck, NY 11024-2104

Mailing address

117 Hicks LN
Great Neck, NY 11024-2104
Phone (516) 466-8428

Other identifiers 1

IdentifierTypeStateIssuer
60-088195OtherNYLICENSE NUMBER

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60-088195NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376766436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HICKS LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110242104",
            "telephone_number": "516-466-8428",
            "fax_number": "516-466-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HICKS LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110242104",
            "telephone_number": "516-466-8428",
            "fax_number": "516-466-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHER",
        "first_name": "RENEE",
        "middle_name": "ALTMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-088195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "60-088195",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.