Organization Active NPI

Lester Neil Fogelsanger

  • Psychiatry Physician
  • Wayne, PA
National Provider Identifier
1609252972
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD427836 Issued in PA
Legal business name
LESTER NEIL FOGELSANGER
Practice address
303 W Lancaster Ave
Suite 2B
Wayne, PA 19087-3938
Phone
(215) 760-4461
Fax
(678) 693-6166
NPI assigned
Aug 10, 2015
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Dr. Lester N Fogelsanger, M.D.NPI 1881785442
Title
Owner
Phone
(215) 760-4461

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD427836 PA Primary

Addresses

Primary practice location

303 W Lancaster Ave
Suite 2B
Wayne, PA 19087-3938

Mailing address

303 W Lancaster Ave
Suite 2B
Wayne, PA 19087-3938
Phone (215) 760-4461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151203002226 PA Part B Supplier - Clinic/Group Practice 1759681323 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, PA

National Provider Directory

National Provider Directory

Locations

303 W Lancaster Ave
Ste 2A
Wayne, PA 19087
Phone (215) 760-4461

303 W Lancaster Ave
Ste 2B
Wayne, PA 19087
Phone (215) 760-4461

Practitioners & affiliated clinicians

Practitioners 2

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": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1609252972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W LANCASTER AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873938",
            "telephone_number": "215-760-4461",
            "fax_number": "678-693-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LANCASTER AVE",
            "address_2": "SUITE 2B",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873938",
            "telephone_number": "215-760-4461",
            "fax_number": "678-693-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER NEIL FOGELSANGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "FOGELSANGER",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-760-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.