Donald Fagelman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

142132 Issued in NY

Practice address

301 East Main St.
Nslij- Southside Hospital, Dept. of Radiology
Bay Shore, NY 11706

Phone

(631) 968-3290

Fax

(631) 968-7486

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Medical Imaging of Long Island PC

  • Diagnostic Radiology Physician
  • Great Neck, NY
  • NPI 1053303909
  NPD (past) Authorized official
• Great Neck Imaging

  • Diagnostic Radiology Physician
  • Great Neck, NY
  • NPI 1487646311
  NPD (past) Authorized official
• North Shore Radiology at Glen Cove PC

  • Body Imaging Physician
  • Glen Cove, NY
  • NPI 1003024662
  NPD
• Franklin Hospital

  • General Acute Care Hospital
  • Valley Stream, NY
  • NPI 1528075108
  NPD (past)
• Franklin Hospital Radiology

  • Diagnostic Radiology Physician
  • Valley Stream, NY
  • NPI 1184713109
  NPD (past)
• Franklin Physician Services

  • Hospitalist Physician
  • Valley Stream, NY
  • NPI 1760571780
  NPD (past)
• Lij-NS Health System

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1427389907
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1669476446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EAST MAIN ST.",
            "address_2": "NSLIJ- SOUTHSIDE HOSPITAL, DEPT. OF RADIOLOGY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-3290",
            "fax_number": "631-968-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST MAIN ST.",
            "address_2": "NSLIJ- SOUTHSIDE HOSPITAL, DEPT. OF RADIOLOGY",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-968-3290",
            "fax_number": "631-968-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGELMAN",
        "first_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "142132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Michelle Evangelista
• Melody Evans, MFT
• Eyecare Advantage, Inc. (Eyecare Vision Services)
• Caitlin Eyerman, DNP
• Paul Anthony Facchiano, LMSW
• Faithful Steps Podiatry PC
• Brian Fallon, MD
• Family Consultation Service (Episcopal Community Services of Long Island)
• Family Dentistry
• Family Help Services

• Diagnostic Radiology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.