Organization Active NPI

FS Physician Medical

  • Specialist
  • New Hyde Park, NY
National Provider Identifier
1568796449
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
139924 Issued in NY
Legal business name
FS PHYSICIAN MEDICAL
Practice address
203 Birch Dr
New Hyde Park, NY 11040-2346
Phone
(516) 972-2215
NPI assigned
Sep 25, 2009
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Henry Ferstenberg, M.D.NPI 1932121779
Title
Ceo
Phone
(516) 972-2215

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
Specialist 174400000X 139924 NY Primary

Addresses

Primary practice location

203 Birch Dr
New Hyde Park, NY 11040-2346

Mailing address

461 Park Ave S
11TH Floor
New York, NY 10016-6822
Phone (212) 473-6500

Other identifiers 2

IdentifierTypeStateIssuer
139924OtherNYLICENSE
176352OtherNYSHELBY SAMUEL LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1568796449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 PARK AVE S",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166822",
            "telephone_number": "212-473-6500",
            "fax_number": "212-529-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BIRCH DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402346",
            "telephone_number": "516-972-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS PHYSICIAN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "FERSTENBERG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-972-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "139924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "139924",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHELBY SAMUEL LICENSE",
            "identifier": "176352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.