Todd William Fedyshyn, SERVICE COORDINATOR

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

45 Brewster St
Johnson City, NY 13790-2835

Phone

(607) 351-9352

NPI assigned

Nov 10, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1639835010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BREWSTER ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902835",
            "telephone_number": "607-351-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BREWSTER ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902835",
            "telephone_number": "607-351-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDYSHYN",
        "first_name": "TODD",
        "middle_name": "WILLIAM",
        "credential": "SERVICE COORDINATOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03169371",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sc@fedyshyn.com",
            "affiliation": "N",
            "endpointDescription": "provider email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ZIP",
            "address_1": "45 Brewster St",
            "city": "Johnson City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137902835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keira Farrell
• Spring Fauci, FNP-C
• John Fay, CRNA
• Daniel P Federowicz, MD
• Stephen G Federowicz, MD
• Molly Ursula Feeney, PA-C
• Mitchell Feldman, MD
• Karen J Feltham, CNM
• Christine H Fenlon, MD
• Leanne Ferenczi

• Case Management Agency in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.