Individual provider Active NPI

Lauren A Fisher, DPM

  • Podiatrist
  • Lynn, MA
National Provider Identifier
1497914865
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD 1223 Issued in MA
Practice address
98 Nahant St
Lynn, MA 01902-3315
Phone
(781) 596-0703
Fax
(781) 592-4631
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD 1223 MA Primary

Addresses

Primary practice location

98 Nahant St
Lynn, MA 01902-3315

Mailing address

98 Nahant St
Lynn, MA 01902-3315
Phone (781) 596-0703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111123000385 MA Practitioner - Podiatry 5698949907 Reassigns benefits to 1 organization
I20210929002981 NY Practitioner - Podiatry 5698949907 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalmar Family Podiatry LLPGroup PAC ID 6709152697, 4 clinicians

Practice addresses (Care Compare)

62 Green St
Huntington, NY 11743-6912
Phone (631) 549-0955

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue3146
Removal or shaving of skin growth1946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD 1223MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalmar Family Podiatry LLP Podiatrist CurrentSince Oct 14, 2021 Accepting new patients
Phase Two Podiatry PC Podiatrist CurrentSince Aug 1, 2021 Accepting new patients
Sanphy Podiatry Group, Inc. Podiatrist CurrentSince Sep 18, 2011 Accepting new patients
Medical Director Services PC CurrentSince Sep 1, 2021 Accepting new patients
Saint Vincent Radiological Associates Inc PastSince Sep 18, 2011 Accepting new patients

Locations

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

301 Mill Rd
Ste U7
Hewlett, NY 11557

62 Green St
Huntington, NY 11743
Phone (631) 549-0955

193 S Union Rd
Williamsville, NY 14221
Phone (716) 276-1900

Networks

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

Organizations & group practices 5

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1497914865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 NAHANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023315",
            "telephone_number": "781-596-0703",
            "fax_number": "781-592-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 NAHANT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023315",
            "telephone_number": "781-596-0703",
            "fax_number": "781-592-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "POD 1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.