NPIMap

Individual provider Active NPI

Jonathan S. Fainberg, MD, MPH

  • Urology Physician
  • Fresh Meadows, NY
National Provider Identifier
1780070789
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
311006 Issued in NY
Practice address
7568 187TH St FL 2
Fresh Meadows, NY 11366-1726
Phone
(718) 303-3720
NPI assigned
Apr 7, 2015
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 311006 NY Primary

Addresses

Primary practice location

7568 187TH St FL 2
Fresh Meadows, NY 11366-1726

Mailing address

255 W 85TH St Apt 14Ab
New York, NY 10024-3260
Phone (617) 835-2019

Other practice location 1

255 W 85th St Apt 14Ab
New York, NY 10024-3260
Phone (617) 835-2019

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsf9006@med.cornell.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210806001844 NY Practitioner - Urology 6901144237 Reassigns benefits to 3 organizations
I20250822000565 NJ Practitioner - Urology 6901144237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tufts University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mskcc Surgery GroupGroup PAC ID 0345131405, 365 clinicians
Memorial Medical Care PCGroup PAC ID 1557731130, 13 clinicians
MSK BergenGroup PAC ID 1456614114, 254 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

2236 Nostrand Ave
Brooklyn, NY 11210-3037
Phone (212) 639-2000

225 Summit Ave
Montvale, NJ 07645-1523
Phone (908) 542-3336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.97 of 100Reported as group
Quality
82.74
Improvement activities
40
Cost
79.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311006NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. Current Accepting new patients
Memorial Medical Care PC CurrentSince Jan 1, 2023 Accepting new patients
MSK Bergen CurrentSince May 29, 2025 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Aug 1, 2021 Accepting new patients

Locations

225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336

2236 Nostrand Ave
Brooklyn, NY 11210
Phone (347) 418-4437

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

7568 187th St
Fl 2
Fresh Meadows, NY 11366
Phone (718) 303-3720

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

Networks

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

Interoperability endpoints

  • Direct secure messaging: jfainberg37521@mskcc.direct-ci.com

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 11

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1780070789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 85TH ST APT 14AB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243260",
            "telephone_number": "617-835-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7568 187TH ST FL 2",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661726",
            "telephone_number": "718-303-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W 85th St Apt 14Ab",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100243260",
            "country_code": "US",
            "telephone_number": "617-835-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAINBERG",
        "first_name": "JONATHAN",
        "middle_name": "S.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "311006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsf9006@med.cornell.edu",
            "affiliation": "N",
            "endpointDescription": "WCMC Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7568 187th St Fl 2",
            "city": "Fresh Meadows",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113661726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.