Individual provider Active NPI

Joseph S. Fishbein, D.M.D.

  • Periodontics
  • North Bellmore, NY
National Provider Identifier
1538259833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
039272-1 Issued in NY
Practice address
2415 Jerusalem Ave
Suite 103
North Bellmore, NY 11710-1870
Phone
(516) 679-1145
Fax
(516) 679-2262
NPI assigned
Oct 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 039272-1 NY Primary
Periodontics 1223P0300X DS024055L PA

Addresses

Primary practice location

2415 Jerusalem Ave
Suite 103
North Bellmore, NY 11710-1870

Mailing address

2415 Jerusalem Ave
Suite 103
North Bellmore, NY 11710-1870
Phone (516) 679-1145

Other names 1

  • Dr. Jay S. Fishbein Professional name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120000750 NY Order and Referring Only - DentistPractitioner - Dentist 1153624424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039272-1NYMDPeriodontist
DS024055LPAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538259833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE",
            "address_2": "SUITE 103",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101870",
            "telephone_number": "516-679-1145",
            "fax_number": "516-679-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 JERUSALEM AVE",
            "address_2": "SUITE 103",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101870",
            "telephone_number": "516-679-1145",
            "fax_number": "516-679-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBEIN",
        "first_name": "JOSEPH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "039272-1",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS024055L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "FISHBEIN",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in North Bellmore, NY

Sources for this page

Verify at the official NPI Registry.