Active NPI
Deborah V Fishman, MD
- Pediatric Allergy/Immunology Physician
- Yonkers, NY
National Provider Identifier
1720063159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- License
- 1382471
- Practice address
- 984 N Broadway
Ste 307
Yonkers, NY 10701-0000 - Phone
- (914) 476-8877
- Fax
- (914) 476-4754
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician | 2080P0201X | 1382471 | NY | Primary |
| Pediatrics Physician | 208000000X | 1382471 | NY |
Addresses
Primary practice location
984 N Broadway
Ste 307
Yonkers, NY 10701-0000
Mailing address
984 N Broadway
Suite 307
Yonkers, NY 10701-1318
Phone (914) 476-8877
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78805699 | Other | NY | AETNA PPO |
| 176171P | Other | NY | EMBLEM HIP |
| 185655 | Other | NY | CHN |
| 3555631 | Other | NY | AETNA HMO |
| 00609898 | Medicaid | NY | |
| 138247A2B | Other | NY | HEALTHFIRST |
| 176171P | Other | NY | VYTRA |
| 6241549 | Other | NY | CIGNA |
| 0138035 | Other | NY | EMBLEM HEALTH GHI |
| 5N9991 | Other | NY | EMPIRE BC |
| 138247S | Other | NY | HEALTHCARE PARTNERS |
| P2932193 | Other | NY | OXFORD |
| 01831542 | Other | NY | HEALTHPLUS-AMERIGROUP |
| 201500700026 | Other | NY | AFFINITY HEALTH |
Other names 1
- Dr. Deborah V Grunwald
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1382471 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Associates of Murray Hill, P C | Current | Accepting new patients | |
| Allergy & Immunology on Madison 069478 | Past | Accepting new patients | |
| Sudhir M Parikh M D P a | Past | Accepting new patients |
Locations
68 Nassau Rd
Huntington, NY 11743
Phone (631) 423-5590
161 Madison Ave
Rm 3A
New York, NY 10016
Phone (212) 685-4225
161 Madison Ave
New York, NY 10016
Phone (212) 213-2444
2004 Grand Ave
North Baldwin, NY 11510
Phone (516) 223-7656
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1245421171
-
- Allergy Physician
- Ny, NY
- NPI 1821147687
-
- Allergy & Immunology Physician
- Highland Park, NJ
- NPI 1750309589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1720063159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "984 N BROADWAY",
"address_2": "SUITE 307",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011318",
"telephone_number": "914-476-8877",
"fax_number": "914-476-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "984 N BROADWAY",
"address_2": "STE 307",
"city": "YONKERS",
"state": "NY",
"postal_code": "107010000",
"telephone_number": "914-476-8877",
"fax_number": "914-476-4754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "DEBORAH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0201X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NY",
"license": "1382471",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "1382471",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "78805699",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMBLEM HIP",
"identifier": "176171P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHN",
"identifier": "185655",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3555631",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00609898",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "138247A2B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "176171P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6241549",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMBLEM HEALTH GHI",
"identifier": "0138035",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "5N9991",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE PARTNERS",
"identifier": "138247S",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2932193",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS-AMERIGROUP",
"identifier": "01831542",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTH",
"identifier": "201500700026",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "GRUNWALD",
"middle_name": "V",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.