Individual provider Active NPI

Ilene M. Fischer, M.D.

  • Gynecology Physician
  • New York, NY
National Provider Identifier
1669420857
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
185602 Issued in NY
Practice address
419 Park Ave S
13TH Floor Suite 1305
New York, NY 10016-8410
Phone
(212) 545-5400
Fax
(212) 447-1796
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18602 NY
Gynecology Physician 207VG0400X 185602 NY Primary

Addresses

Primary practice location

419 Park Ave S
13TH Floor Suite 1305
New York, NY 10016-8410

Mailing address

419 Park Ave S
13TH Floor Suite 1305
New York, NY 10016-8410
Phone (212) 545-5400

Other names 1

  • Dr. Heidi S. Rosenberg Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000194 NY Practitioner - Obstetrics/Gynecology 8426216821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maiden Lane Medical PLLCGroup PAC ID 2365728698, 19 clinicians

Practice addresses (Care Compare)

90 Maiden LN
FL 3
New York, NY 10038-4831
Phone (646) 290-9560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18602NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Maiden Lane Medical, PLLC Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC Gynecology PastSince Apr 1, 2024 Accepting new patients

Locations

18 E 41st St
Fl 1
New York, NY 10017
Phone (212) 683-0041

90 Maiden Ln
Fl 3
New York, NY 10038
Phone (646) 290-9560

90 Maiden Ln
Rm 300
New York, NY 10038
Phone (646) 240-4560

18 E 41st St
Fl 2
New York, NY 10017
Phone (646) 290-9560

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDBDA
  • Direct secure messaging: ifischer21886@nyumc.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1669420857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S",
            "address_2": "13TH FLOOR SUITE 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168410",
            "telephone_number": "212-545-5400",
            "fax_number": "212-447-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S",
            "address_2": "13TH FLOOR SUITE 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168410",
            "telephone_number": "212-545-5400",
            "fax_number": "212-447-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ILENE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "18602",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "185602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "ROSENBERG",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.