Individual provider Active NPI

Jessica C Fleishman, MD

  • Ophthalmology Physician
  • Albany, NY
National Provider Identifier
1669521845
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
199423 Issued in NY
Practice address
349 Northern Blvd
Albany, NY 12204-1032
Phone
(518) 465-1069
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 199423 NY Primary

Addresses

Primary practice location

349 Northern Blvd
Albany, NY 12204-1032

Mailing address

24 N Oakwood Ter
New Paltz, NY 12561-1135
Phone (518) 424-6841

Other identifiers 1

IdentifierTypeStateIssuer
01781768MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199423NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Heights Medical Center Current Accepting new patients
Northeast Vitreo-Retinal Assoc, P.C. Ophthalmology Past Accepting new patients
Northeast Vitreo-Retinal Associates, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessicafleishman@whmc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1669521845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N OAKWOOD TER",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611135",
            "telephone_number": "518-424-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041032",
            "telephone_number": "518-465-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISHMAN",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "199423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01781768",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.