Individual provider Active NPI

Dennis P Fielding, M.D.

  • Internal Medicine Physician
  • Hamburg, NJ
National Provider Identifier
1619917929
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50608 Issued in NJ
Practice address
17 Route 23 N
Hamburg, NJ 07419-1419
Phone
(973) 827-7800
Fax
(973) 209-7855
NPI assigned
Jun 7, 2006
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50608 NJ Primary

Addresses

Primary practice location

17 Route 23 N
Hamburg, NJ 07419-1419

Mailing address

PO Box 95000
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Other identifiers 1

IdentifierTypeStateIssuer
0119041MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000711 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2668407867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50608NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC Internal Medicine Current Accepting new patients
Primary Care Partners, LLC Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
Primary Care Partners, LLC CurrentSince Apr 1, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

17 State Rt 23 N
Hamburg, NJ 07419
Phone (973) 827-7800

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

475 South St
Morristown, NJ 07960
Phone (800) 247-9580

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1619917929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ROUTE 23 N",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191419",
            "telephone_number": "973-827-7800",
            "fax_number": "973-209-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDING",
        "first_name": "DENNIS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "50608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119041",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.