Individual provider Active NPI

Raymond Fertig, MD

  • Dermatology Physician
  • Altamont, NY
National Provider Identifier
1477040640
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
323248 Issued in NY
Practice address
2508 Western Ave
Altamont, NY 12009-9485
Phone
(212) 283-3000
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 323248 NY Primary

Addresses

Primary practice location

2508 Western Ave
Altamont, NY 12009-9485

Mailing address

33 E 33Rd St FL 12
New York, NY 10016-5362
Phone (212) 283-3000

Other practice location 1

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-2000

Other names 1

  • Raymond Fertig Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230602002175 NY Practitioner - Dermatology 9931566155 Reassigns benefits to 1 organization
I20230926001144 FL Practitioner - Dermatology 9931566155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

1132 E N Blvd
Leesburg, FL 34748-5350
Phone (352) 365-6650

2508 Western Ave
Altamont, NY 12009-9485
Phone (518) 690-0177

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1090
Removal or shaving of skin growth51
Skin biopsy256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
323248NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology Group PA Dermatology CurrentSince Oct 1, 2023 Accepting new patients
Schweiger Dermatology PLLC Dermatology CurrentSince May 1, 2023 Accepting new patients
Pathology Medical Laboratories PastSince Oct 1, 2023 Accepting new patients

Locations

950 SE 5th Ave
Delray Beach, FL 33483
Phone (561) 266-7303

1132 E North Blvd
Leesburg, FL 34748
Phone (352) 365-6650

4700 N Congress Ave
Ste 100
West Palm Beach, FL 33407
Phone (561) 806-0030

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

2701 Queens Plz N
Fl 10
Long Island City, NY 11101
Phone (203) 996-6379

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: raymond.fertig@schweigerderm.emadirect.md
  • Direct secure messaging: rfertig483458@direct.sw.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1477040640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 E 33RD ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165362",
            "telephone_number": "212-283-3000",
            "fax_number": "904-639-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 WESTERN AVE",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "120099485",
            "telephone_number": "212-283-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Kingsley Ave",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735148",
            "country_code": "US",
            "telephone_number": "904-639-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERTIG",
        "first_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "323248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYMOND",
            "last_name": "FERTIG",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altamont, NY

Sources for this page

Verify at the official NPI Registry.