Fabian Engelbertz, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

280305 Issued in NY

Practice address

615 Broadway
Hastings on Hudson, NY 10706-1039

Phone

(914) 963-1663

NPI assigned

Sep 4, 2012

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1467701607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W MAIN ST",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 BROADWAY",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061039",
            "telephone_number": "914-963-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELBERTZ",
        "first_name": "FABIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-04",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "280305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephan Maxwell Donis, DPM
• Lani Donlon, LCSW
• Catherine Emigholz Drozd, NP
• Eliza Zimmerer LCSW, PLLC
• Julia Mae Emanuel, MD
• Dan L Epstein, PH.D.
• Janet M Faghihi, D.P.M.
• Cathey Eisner Falvo, M.D.
• Kenneth Anthony Falvo, MD
• Family Services of Westchester

• Primary Care Clinic/Center in Hastings on Hudson, NY
• Providers in Hastings on Hudson, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.