Heidi Fyrberg Physician Assistant PC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

HEIDI FYRBERG PHYSICIAN ASSISTANT PC

Practice address

1895 Walt Whitman Rd
Melville, NY 11747-3031

Phone

(516) 652-7100

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Heidi Fyrberg-Cohen, PA

Title

Physician Assistant

Phone

(516) 652-7100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Fyrberg, PA-C

  • Surgical Physician Assistant
  • New Windsor, NY
  • NPI 1699895672
  NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1770054710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DONOVAN DR",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117242222",
            "telephone_number": "516-652-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473031",
            "telephone_number": "516-652-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI FYRBERG PHYSICIAN ASSISTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "FYRBERG-COHEN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "516-652-7100",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hawthorne, M.S.ED, BCBA
• Cyan Miasia Hayes
• Kenya Haynes
• Heart in Mind Integrative Psychotherapy
• Leah Rose Heath
• Eugene Heller, M.D.
• Destiny Henderson
• Jocelyn N Henriquez
• Avion D Henry
• Emily S Henry, RN

• Surgical Physician Assistant in Melville, NY
• Providers in Melville, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.