Active NPI
Robert Fiedler, MD
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
National Provider Identifier
1780788133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 099544
- Practice address
- 1175 Park Ave
New York, NY 10128-1211 - Phone
- (212) 289-6500
- Fax
- (212) 996-5042
- NPI assigned
- Sep 7, 2006
- Last updated
- Dec 17, 2007
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 099544 | NY | Primary |
Addresses
Primary practice location
1175 Park Ave
New York, NY 10128-1211
Mailing address
1175 Park Ave
New York, NY 10128-1211
Phone (212) 289-6500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP618 | Other | OXFORD | |
| 0120756 | Other | AETNA INSURANCE | |
| 00170127 | Medicaid | NY | |
| 1152045 | Other | GHI | |
| 1327684640001 | Other | CIGNA INSURANCE | |
| OC7088 | Other | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
- NPI 1942483607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1780788133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281211",
"telephone_number": "212-289-6500",
"fax_number": "212-996-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101281211",
"telephone_number": "212-289-6500",
"fax_number": "212-996-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIEDLER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "099544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NP618",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "0120756",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00170127",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "1152045",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INSURANCE",
"identifier": "1327684640001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OC7088",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.