Individual provider Active NPI

M S Elisabeth Fanini-Lemoine Colon, MD

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1811366099
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
281104 Issued in NY
Practice address
107 Hart St
Apt.3
Brooklyn, NY 11206-6814
Phone
(917) 287-2149
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 281104 NY Primary

Addresses

Primary practice location

107 Hart St
Apt.3
Brooklyn, NY 11206-6814

Mailing address

107 Hart St
Apt.3
Brooklyn, NY 11206-6814
Phone (917) 287-2149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816002223 NY Practitioner - Internal Medicine 3072862598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

770 E 176TH St
Bronx, NY 10460-4617
Phone (718) 583-5150

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Instruction Project Community Services, Inc. CurrentSince Jul 18, 2016 Accepting new patients

Locations

770 E 176th St
Bronx, NY 10460
Phone (718) 466-8034

1910 Arthur Ave
Bronx, NY 10457
Phone (718) 466-8961

770 E 176th St
Fl 3
Bronx, NY 10460
Phone (718) 583-5150

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1811366099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HART ST",
            "address_2": "APT.3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066814",
            "telephone_number": "917-287-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HART ST",
            "address_2": "APT.3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066814",
            "telephone_number": "917-287-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANINI-LEMOINE COLON",
        "first_name": "M S ELISABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "281104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.