Active NPI
Benjamin G Fogelman, D.O.
- Anesthesiology Physician
- Suffern, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 237710-1
- Practice address
- 100 Route 59
Suite 105
Suffern, NY 10901-4927 - Phone
- (845) 357-5775
- Fax
- (845) 357-8263
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 237710-1 | NY | Primary |
Addresses
Primary practice location
100 Route 59
Suite 105
Suffern, NY 10901-4927
Mailing address
100 Route 59 Ste 111
Suffern, NY 10901-5620
Phone (845) 357-5775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 357-5775
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237710-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia of New Jersey LLC | Anesthesiology | Current | Accepting new patients |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| Ramapo Anesthesiologists, PC | Anesthesiology | Current | Accepting new patients |
| Gastrointestinal Associates of Rockland, PC | Past | Accepting new patients | |
| Port Jervis Anesthesiology Associates, PLLC | Past | Accepting new patients | |
| Gastrointestinal Care of Long Island PLLC | Past | Accepting new patients |
Locations
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
256 Broad St
Bloomfield, NJ 07003
Phone (973) 615-7700
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
68 Harris Bushville Rd
Monticello, NY 12701
Phone (845) 897-6053
873 Route 45
Ste 104
New City, NY 10956
Phone (845) 362-1081
500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
974 Route 45
Ste 1000
Pomona, NY 10970
Phone (845) 354-1113
974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
100 Route 59
Ste 105
Suffern, NY 10901
Phone (845) 357-5745
133 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
100 Route 59
Ste 111
Suffern, NY 10901
Phone (845) 369-9701
233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
4 Westchester Park Dr
Ste 300
White Plains, NY 10604
Phone (914) 368-2424
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
- Gastroenterology Physician
- New City, NY
- NPI 1598969008
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Hospice and Palliative Medicine (Anesthesiology) Physician
- Port Jervis, NY
- NPI 1699984427
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1578599544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROUTE 59 STE 111",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015620",
"telephone_number": "845-357-5775",
"fax_number": "845-357-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROUTE 59",
"address_2": "SUITE 105",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014927",
"telephone_number": "845-357-5775",
"fax_number": "845-357-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGELMAN",
"first_name": "BENJAMIN",
"middle_name": "G",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "237710-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.