Fastigium Physical Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

FASTIGIUM PHYSICAL MEDICINE LLC

Practice address

675 Good Dr
Lancaster, PA 17601-2426

Phone

(215) 435-2500

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Mendel Kupfer, MDNPI 1356383442

Title

Sole Owner/Provider

Phone

(215) 435-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Mendel Kupfer, MD

  • Physical Medicine & Rehabilitation Physician
  • Lancaster, PA
  • NPI 1356383442
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1801466891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 PHILADELPHIA PIKE # 5845",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032424",
            "telephone_number": "215-435-2500",
            "fax_number": "802-335-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 GOOD DR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012426",
            "telephone_number": "215-435-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTIGIUM PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "KUPFER",
        "authorized_official_first_name": "MENDEL",
        "authorized_official_title_or_position": "SOLE OWNER/PROVIDER",
        "authorized_official_telephone_number": "215-435-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel R Farmer
• Courtney Farr, LSW
• Christopher Paul Farrell, D.O.
• Amber Autumn Farward, MA
• Maura Lee Pantone Fascetti, PSYD
• Gregg J Fasulo, MD
• Latoya Tanesia Faucette, LPN
• Annette Judith Faul, LPC
• Jerniva Faulkner, LPN
• Donald I Fausnaught, D.M.D.

• Physical Medicine & Rehabilitation Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.