William Fonfeder

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

188439 Issued in NY

Practice address

1472 53Rd St
Brooklyn, NY 11219-3948

Phone

(718) 438-2309

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ahava Medical and Rehabilitation Center, LLCGroup PAC ID 1557416997, 150 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahava Medical and Rehabilitation Center, LLC

  • Rehabilitation Practitioner
  • Brooklyn, NY
  • NPI 1184878274
  Medicare reassignment Care Compare group NPD
• Ahava Medical and Rehabilitation Center LLC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
  • NPI 1215339577
  NPD (past)
• Caledonian Health Center

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1184657355
  NPD (past)
• Collins Wellcare Medical, P.C.

  • Neurological Surgery Physician
  • Brooklyn, NY
  • NPI 1487830238
  NPD (past)
• SZS Medical Care PLLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1205006905
  NPD (past)
• TBHC Medical Services PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1508959743
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568534964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193948",
            "telephone_number": "718-438-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193948",
            "telephone_number": "718-438-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONFEDER",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "188439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01661229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel D Fondeur
• Jacob Fondie, LCSW
• Annie Fonfeder
• Francine Fonfeder, MS
• Morty Fonfeder, FNP
• Abel Fong, PHARM.D.
• Alan Fong, LCSW
• Cai Yu Fong
• Courtney Fong, DMD
• Crystal Fong

• Legal Medicine in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.