Active NPI
Edward Fisher, MD
- Cardiovascular Disease Physician
- Ny, NY
National Provider Identifier
1699781088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 168215
- Practice address
- 45 East 85 Street
Ny, NY 10028 - Phone
- (212) 472-7370
- Fax
- (212) 472-7336
- NPI assigned
- Jul 31, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 168215 | NY | Primary |
Addresses
Primary practice location
45 East 85 Street
Ny, NY 10028
Mailing address
45 East 85 Street
Ny, NY 10028
Phone (212) 472-7370
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7799603 | Other | AET | |
| P00154553 | Other | RR MEDICARE | |
| 805455 | Other | UNITED | |
| 3001 | Other | NEIC SITE ID | |
| 51935917 | Other | ATLANTIS | |
| NS773 | Other | OXFORD | |
| 168215A12 | Other | 1199 HOME CARE | |
| 2103597 | Other | GHI NON PAR | |
| 561Q01 | Other | BLUE CROSS | |
| 1022980003 | Other | CIGNA | |
| 3C3376 | Other | HEALTHNET |
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Oct 1, 2013 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168215 | NY | MD | Cardiovascular Disease Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- New York, NY
- NPI 1427204395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1699781088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 EAST 85 STREET",
"city": "NY",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-472-7370",
"fax_number": "212-472-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 EAST 85 STREET",
"city": "NY",
"state": "NY",
"postal_code": "10028",
"telephone_number": "212-472-7370",
"fax_number": "212-472-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "168215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AET",
"identifier": "7799603",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00154553",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "805455",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIC SITE ID",
"identifier": "3001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS",
"identifier": "51935917",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NS773",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 HOME CARE",
"identifier": "168215A12",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI NON PAR",
"identifier": "2103597",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "561Q01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1022980003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3C3376",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.