Active NPI
Jeffrey Robert Foster, MD
- Psychiatry Physician
- Longmont, CO
National Provider Identifier
1508959388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 108800
- Practice address
- 9362 Tollgate Dr
Longmont, CO 80503-9300 - Phone
- (303) 442-2269
- Fax
- (303) 444-0253
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 108800 | NY | Primary |
| Psychiatry Physician | 2084P0800X | 46351 | CO |
Addresses
Primary practice location
9362 Tollgate Dr
Longmont, CO 80503-9300
Mailing address
9362 Tollgate Dr
Longmont, CO 80503-9300
Phone (303) 442-2269
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004646457 | Other | NY | AETNA ID# |
| JF06443010 | Other | NY | EMPIRE BLUE SHIELD # |
| 0089662 | Other | NY | GHI PROVIDER ID# |
| 00192618 | Medicaid | NY | |
| 108800 | Other | NY | MEDICAL LICENSE |
| 46351 | Other | CO | MEDICAL LICENSE |
| NS3637 | Other | NY | OXFORD HEALTH PLANS ID# |
| 108800 | Other | NY | HIP PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46351 | CO | MD | Psychiatry Physician |
| 108800 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219449600000",
"number": "1508959388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9362 TOLLGATE DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805039300",
"telephone_number": "303-442-2269",
"fax_number": "303-444-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9362 TOLLGATE DR",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805039300",
"telephone_number": "303-442-2269",
"fax_number": "303-444-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JEFFREY",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "108800",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "46351",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID#",
"identifier": "0004646457",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE SHIELD #",
"identifier": "JF06443010",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER ID#",
"identifier": "0089662",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00192618",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "108800",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "46351",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS ID#",
"identifier": "NS3637",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP PROVIDER #",
"identifier": "108800",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
- Forward Together/Adelante Juntos Counseling, LLC
- Kendall Foster Bullock, CD (DTI)
- Foster Chiropractic & Wellness Center, PLLC
- Brian Keith Foster, D.C.
- Colleen Anne Foster, M.D.
- Nathaniel Foster, PTA
- Richard Foster, MS, ATC
- Allison Fostveit, RN, BSN, BS, MSN-FNP
- Foundation Dental Partners LLC
- Foundation for Scalable Innovations
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.