Organization Active NPI

Stuart S. Fay, M.D., P.C.

  • Ophthalmology Physician
  • Fitchburg, MA
National Provider Identifier
1386755445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
STUART S. FAY, M.D., P.C.
Practice address
33 Electric Ave
Ste 104-105
Fitchburg, MA 01420-7954
Phone
(978) 342-8752
Fax
(978) 342-1970
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stuart S. Fay, M.D.
Title
President/Owner
Phone
(978) 342-8752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

33 Electric Ave
Ste 104-105
Fitchburg, MA 01420-7954

Mailing address

33 Electric Ave
Ste 104-105
Fitchburg, MA 01420-7954
Phone (978) 342-8752

Other identifiers 1

IdentifierTypeStateIssuer
9772324MedicaidMA

National Provider Directory

National Provider Directory

Locations

0 Emerson Pl
Ste 2A
Boston, MA 02114
Phone (617) 484-0900

33 Electric Ave
#104
Fitchburg, MA 01420
Phone (978) 342-8752

33 Electric Ave
Ste 104105
Fitchburg, MA 01420
Phone (978) 342-8752

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386755445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE",
            "address_2": "STE 104-105",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-342-8752",
            "fax_number": "978-342-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE",
            "address_2": "STE 104-105",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-342-8752",
            "fax_number": "978-342-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART S. FAY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "978-342-8752",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9772324",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.