Walter Victor Flegenheimer, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

80284 Issued in NY

Practice address

115 East 87TH Street
Apt 11C
New York, NY 10128

Phone

(212) 722-7553

Fax

(212) 722-7553

NPI assigned

Jul 23, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 23, 2016 through May 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1679738215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAST 87TH STREET",
            "address_2": "APT 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-722-7553",
            "fax_number": "212-722-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST 87TH STREET",
            "address_2": "APT 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-722-7553",
            "fax_number": "212-722-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEGENHEIMER",
        "first_name": "WALTER",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "80284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Anne Fleckenstein, LICSW
• Maria Fleckenstein
• Adrienne Fleckman, MD
• Fern Fleckman
• Rebecca Fleetwood, MA, MT-BC,LCAT
• Emily Frances Fleisch, DPT
• Jessica Fleischer-Black, M.D.
• Juliet Fleischer-Djoleto
• Deborah A Fleischer, NP
• Joan Pauline Fleischer, CCC-SLP

• Psychosomatic Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Psychosomatic Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.