Organization Active NPI

Millie R Fell MD PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1700091055
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MILLIE R FELL MD PC
Practice address
2025 Kings Hwy
Brooklyn, NY 11229-1463
Phone
(718) 339-6868
Fax
(718) 627-7219
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Millie R Fell, MDNPI 1780607192
Title
MD
Phone
(718) 339-6868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NY Primary

Addresses

Primary practice location

2025 Kings Hwy
Brooklyn, NY 11229-1463

Mailing address

2025 Kings Hwy
Brooklyn, NY 11229-1463
Phone (718) 339-6868

Other identifiers 2

IdentifierTypeStateIssuer
002206311MedicaidNY
CK8914OtherNYRAILROAD MEDICARE

Other names 1

  • Brighton Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000468 NY Part B Supplier - Clinic/Group Practice 6406746924 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

2025 Kings Hwy
Brooklyn, NY 11229
Phone (718) 256-2222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700091055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291463",
            "telephone_number": "718-339-6868",
            "fax_number": "718-627-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291463",
            "telephone_number": "718-339-6868",
            "fax_number": "718-627-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE R FELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FELL",
        "authorized_official_first_name": "MILLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-339-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002206311",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8914",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.