Organization Active NPI

Bruce D. Fischer DPM LLC

  • Podiatrist
  • Warwick, NY
National Provider Identifier
1679891444
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004228 Issued in NY
Legal business name
BRUCE D. FISCHER DPM LLC
Practice address
9 Ronald Reagan Blvd
Warwick, NY 10990-4115
Phone
(845) 986-8400
Fax
(845) 986-8954
NPI assigned
May 4, 2010
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Bruce Fischer, DPM
Title
DPM
Phone
(845) 651-3668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005818 NY
Podiatrist 213E00000X N004228 NY Primary

Addresses

Primary practice location

9 Ronald Reagan Blvd
Warwick, NY 10990-4115

Mailing address

9 Ronald Reagan Blvd
Warwick, NY 10990-4115
Phone (845) 986-8400

National Provider Directory

National Provider Directory

Locations

19 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 651-3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1679891444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904115",
            "telephone_number": "845-986-8400",
            "fax_number": "845-986-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904115",
            "telephone_number": "845-986-8400",
            "fax_number": "845-986-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D. FISCHER DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "845-651-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005818",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.