NPIMap

Organization Active NPI

Fpa Hospital Based

Doing business as FPA Hospital Based MSMC Emergency Physicians

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1427398676
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
FPA HOSPITAL BASED
Doing business as
FPA Hospital Based MSMC Emergency Physicians
Practice address
100TH St and Madison Ave
New York, NY 10029-6503
Phone
(212) 824-8055
NPI assigned
Feb 26, 2013
Last updated
May 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Richard Nagengast
Title
Vice President Cbo Billing
Phone
(646) 605-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

100TH St and Madison Ave
New York, NY 10029-6503

Mailing address

PO Box 5024
New York, NY 10087-5024
Phone (212) 824-8055

Other identifiers 1

IdentifierTypeStateIssuer
03678044MedicaidNY

Other names 1

  • FPA Hospital Based MSMC Emergency Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130806000185 NY Part B Supplier - Clinic/Group Practice 4789826694 Receives reassigned benefits from 1,308 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Staten Island, NY; Brooklyn, NY; Greenlawn, NY; Jackson Heights, NY; Long Island City, NY; Manhasset, NY

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 650

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 650

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1427398676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5024",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875024",
            "telephone_number": "212-824-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100TH ST AND MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296503",
            "telephone_number": "212-824-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPA HOSPITAL BASED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "NAGENGAST",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT CBO BILLING",
        "authorized_official_telephone_number": "646-605-8112"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03678044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FPA Hospital Based MSMC Emergency Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.