NPIMap

Organization Active NPI

Richard Ferstenberg, MD, PC

  • Gastroenterology Physician
  • Freeport, NY
National Provider Identifier
1508006453
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
160010 Issued in NY
Legal business name
RICHARD FERSTENBERG, MD, PC
Practice address
424 Atlantic Ave
Freeport, NY 11520-5217
Phone
(516) 867-7849
Fax
(516) 867-3813
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Richard M Ferstenberg, MDNPI 1780668731
Title
Owner
Phone
(516) 867-7849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 160010 NY Primary

Addresses

Primary practice location

424 Atlantic Ave
Freeport, NY 11520-5217

Mailing address

424 Atlantic Ave
Freeport, NY 11520-5217
Phone (516) 867-7849

Other names 1

  • RICHARD FERSTENBERG, MD Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1508006453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205217",
            "telephone_number": "516-867-7849",
            "fax_number": "516-867-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ATLANTIC AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205217",
            "telephone_number": "516-867-7849",
            "fax_number": "516-867-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD FERSTENBERG, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "FERSTENBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-867-7849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "160010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHARD FERSTENBERG, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.