NPIMap

Individual provider Active NPI

James W Ferguson, MD

  • Family Medicine Physician
  • East Islip, NY
National Provider Identifier
1730183013
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
150415 Issued in NY
Practice address
170 W Main St
East Islip, NY 11730-2216
Phone
(631) 581-2049
Fax
(631) 581-3354
NPI assigned
Jun 2, 2005
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000167 NY Practitioner - Family Practice 3678678570 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: East Islip, NY

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
Primary Partnercare Physicians PLLCGroup PAC ID 9638593585, 18 clinicians

Practice addresses (Care Compare)

170 W Main St
East Islip, NY 11730-2216
Phone (631) 509-7171

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150415NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Jun 2, 2021 Accepting new patients
Primary Partnercare Physicians PLLC CurrentSince Oct 1, 2020 Accepting new patients
Immediate Family Care, LLC PastSince Dec 29, 1987 Accepting new patients
James W Ferguson MD LLC PastSince Jan 1, 1990 Accepting new patients
Suffolk Restorative Therapy & Nursing, 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
Manhasset, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24863/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.