Active NPI
Moshe Saul Fuksbrumer, MD
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1386644714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 205465
- Practice address
- 121 Dekalb Ave
Manhattan Diagnostic Radiology
Brooklyn, NY 11201-5425 - Phone
- (718) 250-8253
- NPI assigned
- Jul 28, 2005
- Last updated
- Mar 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 205465 | NY | Primary |
Addresses
Primary practice location
121 Dekalb Ave
Manhattan Diagnostic Radiology
Brooklyn, NY 11201-5425
Mailing address
121 Dekalb Ave
Manhattan Diagnostic Radiology
Brooklyn, NY 11201-5425
Phone (718) 250-8253
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205465 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Health System Medical Faculty Group Practice Inc | Past | Accepting new patients | |
| DRS. Beranbaum, Khilnani, Neistadt, Jacobs, Hertz & Sherman, LLP | Diagnostic Radiology | Past | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
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- Specialty Pharmacy
- New York, NY
- NPI 1629410816
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1386644714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"address_2": "MANHATTAN DIAGNOSTIC RADIOLOGY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 DEKALB AVE",
"address_2": "MANHATTAN DIAGNOSTIC RADIOLOGY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015425",
"telephone_number": "718-250-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUKSBRUMER",
"first_name": "MOSHE",
"middle_name": "SAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "205465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.