Active NPI
James W Ferguson, MD
- Family Medicine Physician
- East Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 150415
- Practice address
- 170 W Main St
East Islip, NY 11730-2216 - Phone
- (631) 581-2049
- Fax
- (631) 581-3354
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 150415 | NY | Primary |
Addresses
Primary practice location
170 W Main St
East Islip, NY 11730-2216
Mailing address
1010 Northern Blvd Ste 328
Great Neck, NY 11021-5329
Phone (516) 233-2484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00813869 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York Downstate Medical Center, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
170 W Main St
East Islip, NY 11730-2216
Phone (631) 509-7171
Hospital & facility affiliations
- Catholic Home Care
- Tender Loving Care, an Amedisys Company
- Peconic Bay Homehealth Services
- North Shore University Hospital
- Good Samaritan Hospital Medical Center
- Momentum at South Bay for Rehabilation and Nursing
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Partnercare Physicians PLLC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Family Medicine | Current | Accepting new patients |
| Suffolk Restorative Therapy & Nursing, LLC | Past | Accepting new patients | |
| James W Ferguson MD LLC | Past | Accepting new patients | |
| Immediate Family Care, LLC | Past | Accepting new patients |
Locations
170 W Main St
East Islip, NY 11730
Phone (631) 509-7171
1010 Northern Blvd
Ste 328
Great Neck, NY 11021
Phone (516) 354-7900
300 Community Dr
Plandome, NY 11030
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- https://api.platform.athenahealth.com/24863/brand/1/csg/1/fhir/r4
- james.ferguson.2@24863.direct.athenahealth.com
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- East Islip, NY
- NPI 1831553320
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1891318168
-
- Legal Medicine
- Bay Shore, NY
- NPI 1003963026
-
- Primary Care Clinic/Center
- East Islip, NY
- NPI 1336395417
-
- Skilled Nursing Facility
- East Islip, NY
- NPI 1508167230
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverhead, NY
- NPI 1932155678
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Skilled Nursing Facility
- East Islip, NY
- NPI 1508167230
Nursing home
-
- Home Health Agency
- Medford, NY
- NPI 1699715961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1730183013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 NORTHERN BLVD STE 328",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215329",
"telephone_number": "516-233-2484",
"fax_number": "516-304-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 W MAIN ST",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302216",
"telephone_number": "631-581-2049",
"fax_number": "631-581-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JAMES",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "150415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00813869",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.