Individual provider Active NPI

Deborah V Fishman, MD

  • Pediatric Allergy/Immunology Physician
  • Yonkers, NY
National Provider Identifier
1720063159
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
1382471 Issued in NY
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

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78805699OtherNYAETNA PPO
176171POtherNYEMBLEM HIP
185655OtherNYCHN
3555631OtherNYAETNA HMO
00609898MedicaidNY
138247A2BOtherNYHEALTHFIRST
176171POtherNYVYTRA
6241549OtherNYCIGNA
0138035OtherNYEMBLEM HEALTH GHI
5N9991OtherNYEMPIRE BC
138247SOtherNYHEALTHCARE PARTNERS
P2932193OtherNYOXFORD
01831542OtherNYHEALTHPLUS-AMERIGROUP
201500700026OtherNYAFFINITY HEALTH

Other names 1

  • Dr. Deborah V Grunwald Former name

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
I20031104000122 NY Practitioner - Allergy/Immunology 8527970953 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1382471NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of Murray Hill, P C CurrentSince May 9, 2023 Accepting new patients
Allergy & Immunology on Madison 069478 PastSince May 1, 2001 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.

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

Verify at the official NPI Registry.