Active NPI
Bruce D. Fischer DPM LLC
- Podiatrist
- Warwick, NY
National Provider Identifier
1679891444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004228
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Podiatrist
- Florida, NY
- NPI 1154318939
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.