Active NPI
Abraham Fiszbein, MD
- Psychiatry Physician
- Las Cruces, NM
National Provider Identifier
1700859956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 94-43
- Practice address
- 4311 E Lohman Ave
Las Cruces, NM 88011-8255 - Phone
- (575) 556-7600
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 94-43 | NM | Primary |
Addresses
Primary practice location
4311 E Lohman Ave
Las Cruces, NM 88011-8255
Mailing address
5746 Trowbridge Dr
El Paso, TX 79925-3341
Phone (915) 219-4300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15799 | Medicaid | NM | |
| NM100252 | Other | NM | VALUE OPTIONS OF NM |
| 260047684 | Other | RR MEDICARE | |
| 201003086 | Other | NM | PRESBYTERIAN SALUD |
| NM003298 | Other | NM | BCBS & HMO OF NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-43 | NM | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1700859956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5746 TROWBRIDGE DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799253341",
"telephone_number": "915-219-4300",
"fax_number": "915-519-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118255",
"telephone_number": "575-556-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISZBEIN",
"first_name": "ABRAHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2022-11-15",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "94-43",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15799",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS OF NM",
"identifier": "NM100252",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "260047684",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN SALUD",
"identifier": "201003086",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS & HMO OF NM",
"identifier": "NM003298",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.