Active NPI
Molly Fisher, D.O.
- Nephrology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 55571
- Practice address
- 3400 Bainbridge Ave
Bronx, NY 10467-2404 - Phone
- (718) 920-5442
- Fax
- (718) 652-8384
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 55571 | CT | Primary |
Addresses
Primary practice location
3400 Bainbridge Ave
Bronx, NY 10467-2404
Mailing address
30 Shelburne Rd
Department of Medicine
Stamford, CT 06902-3628
Phone (203) 276-7485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Hospital & facility affiliations
- FMS-Eastchester
- Cassena Kidney Care at Morningside
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55571 | CT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Nephrology | Current | Accepting new patients |
Locations
1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925
1180 Morris Park Ave
Bronx, NY 10461
Phone (718) 829-1500
111 E 210th St
Bronx, NY 10467
3444 Kossuth Ave
Bronx, NY 10467
Phone (718) 920-2273
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mfisher@montefioredirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1245703396
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1851618953
Dialysis facility
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1467749143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SHELBURNE RD",
"address_2": "DEPARTMENT OF MEDICINE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023628",
"telephone_number": "203-276-7485",
"fax_number": "203-276-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672404",
"telephone_number": "718-920-5442",
"fax_number": "718-652-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MOLLY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CT",
"license": "55571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.