Margaret Fiumano, M.D.

Individual provider Active NPI Pediatrics Physician · West Islip, NY

NPI 1609901263 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609901263
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
223151 (NY)
Practice address
720 Montauk Hwy
West Islip, NY 11795-4411
Phone
(631) 669-2900
Fax
(631) 669-2547
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140711001064 NY Practitioner - Pediatric Medicine 8921223728 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
223151NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. Current
since Sep 1, 2022
Accepting new patients
Optum Medical Care, P.C. Current
since Sep 1, 2022
Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 223151 NY Yes

Addresses

Primary practice location

720 Montauk Hwy
West Islip, NY 11795-4411

Mailing address

720 Montauk Hwy
West Islip, NY 11795-4411
Phone (631) 669-2900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609901263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954411",
            "telephone_number": "631-669-2900",
            "fax_number": "631-669-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954411",
            "telephone_number": "631-669-2900",
            "fax_number": "631-669-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIUMANO",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "223151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

All providers in West Islip, NY · Pediatrics Physician in New York

Sources for this page

Verify at the official NPI Registry.