Dilip K Roy

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216564-1 Issued in NY

Practice address

941 S 1St St
Fastcare Family Medical
Fulton, NY 13069-4989

Phone

(315) 593-7128

Fax

(315) 598-8409

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mohamed Ahmed Physicians PC

  • Primary Care Clinic/Center
  • Fulton, NY
  • NPI 1144425232
  NPD (past)
• North Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1972563070
  NPD (past)
• Atlantic Professional Services of Rhode Island Incorporated

  • Hospitalist Physician
  • Wakefield, RI
  • NPI 1922036946
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821037508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 GENESEE ST",
            "address_2": "FLOOR 2",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132334",
            "telephone_number": "315-732-9368",
            "fax_number": "315-732-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 S 1ST ST",
            "address_2": "FASTCARE FAMILY MEDICAL",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694989",
            "telephone_number": "315-593-7128",
            "fax_number": "315-598-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "DILIP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216564-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02116172",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynne Rodriguez, LPN
• Andrew Rogall, M.D.
• Melissa Lynn Rogers, FNP-BC
• Kerri Lynn Rollin
• Lauren Rosenstein, LMSW
• Rural Infectious Disease Specialist
• Rajeev Saini, M.D.
• Elizabeth Salm-Barnes, LMSW
• Amy Sargent Westermann, LMHC
• Brooke E Saunderson, LMT

• Family Medicine Physician in Fulton, NY
• Providers in Fulton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.