Individual provider Active NPI

Douglas David Fien, F.N.P.

  • Family Nurse Practitioner
  • Penfield, NY
National Provider Identifier
1700915386
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333353 Issued in NY
Practice address
1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526-1903
Phone
(585) 758-0777
Fax
(585) 388-9079
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333353 NY
Family Nurse Practitioner 363LF0000X F333353 NY Primary

Addresses

Primary practice location

1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526-1903

Mailing address

1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526-1903
Phone (585) 758-0777

Other identifiers 1

IdentifierTypeStateIssuer
03452513MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dfien109645@direct.urmc.rochester.edu Direct
Direct Messaging Address dfien109645@direct.urmc.rochester.edu Direct

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
333353NYMDFamily Nurse Practitioner
F333353NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 23, 2013 Accepting new patients
Rochester General Hospital Current Accepting new patients
University of Rochester Urgent Care CurrentSince Jul 1, 2022 Accepting new patients
Rochester General Hospital CurrentSince Oct 23, 2013 Accepting new patients
Rochester General Hospital CurrentSince Oct 23, 2013 Accepting new patients
University of Rochester CurrentSince Oct 24, 2016 Accepting new patients
University of Rochester CurrentSince Oct 24, 2016 Accepting new patients
University of Rochester Past Accepting new patients

Locations

1835 Fairport Nine Mile Point Rd
Ste 100
Penfield, NY 14526
Phone (585) 758-0777

2134 Penfield Rd
Penfield, NY 14526
Phone (585) 276-8280

1835 Fairport Nine Mile Point Rd
Penfield, NY 14526
Phone (585) 341-4000

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1700915386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 FAIRPORT NINE MILE POINT RD",
            "address_2": "STE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261903",
            "telephone_number": "585-758-0777",
            "fax_number": "585-334-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 FAIRPORT NINE MILE POINT RD",
            "address_2": "STE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261903",
            "telephone_number": "585-758-0777",
            "fax_number": "585-388-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEN",
        "first_name": "DOUGLAS",
        "middle_name": "DAVID",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03452513",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfien109645@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfien109645@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.