Individual provider Active NPI

Brian Fahnrich, MD

  • Emergency Medicine Physician
  • Bronx, NY
National Provider Identifier
1700932175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
180678 Issued in NY
Practice address
2475 Saint Raymonds Ave
Bronx, NY 10461-3124
Phone
(718) 824-1514
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 180678 NY Primary

Addresses

Primary practice location

2475 Saint Raymonds Ave
Bronx, NY 10461-3124

Mailing address

484 Temple Hill Rd
Ste 102
New Windsor, NY 12553-5557
Phone (845) 565-3700

Other identifiers 1

IdentifierTypeStateIssuer
01190110MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001007 NY Practitioner - Emergency Medicine 7315931920 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Hill Emergency Physician ServicesGroup PAC ID 5395057020, 15 clinicians
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians
Urgent Care Physician of New York-Hartsdale PLLCGroup PAC ID 8628253697, 13 clinicians

Practice addresses (Care Compare)

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000

288 Flatbush Ave
Brooklyn, NY 11217-2812
Phone (718) 656-1290

843 Hutchinson River Pkwy
Bronx, NY 10465-1818
Phone (718) 925-4400

Hospital & facility affiliations

  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
180678NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Lawrence Medical Associates, PC CurrentSince Feb 1, 2018 Accepting new patients
Urgent Care Physician of New York-Hartsdale PLLC CurrentSince Dec 8, 2020 Accepting new patients
Lawrence Medical Associates, PC Current Accepting new patients
Central Orange Physician Services CurrentSince Apr 26, 2020 Accepting new patients
Lawrence Medical Associates, PC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 30, 2020 Accepting new patients
Park Hill Emergency Physician Services Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 30, 2020 Accepting new patients

Locations

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

10 Hastings Dr
Beacon, NY 12508
Phone (845) 440-1600

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

288 Flatbush Ave
Brooklyn, NY 11217
Phone (718) 656-1290

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: brian.fahnrich.1@2983.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700932175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "STE 102",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700",
            "fax_number": "845-565-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 SAINT RAYMONDS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613124",
            "telephone_number": "718-824-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNRICH",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "180678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01190110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.