Active NPI
Norman S. Fastman, M.D.
- Allergy Physician
- Staten Island, NY
National Provider Identifier
1821063116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 81439
- Practice address
- 2291 Hylan Blvd
Staten Island, NY 10306-3231 - Phone
- (718) 351-3515
- Fax
- (718) 351-2407
- NPI assigned
- Feb 21, 2006
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 81439 | NY | Primary |
Addresses
Primary practice location
2291 Hylan Blvd
Staten Island, NY 10306-3231
Mailing address
2291 Hylan Blvd
Staten Island, NY 10306-3231
Phone (718) 351-3515
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81439 | NY | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1821063116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2291 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063231",
"telephone_number": "718-351-3515",
"fax_number": "718-351-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2291 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063231",
"telephone_number": "718-351-3515",
"fax_number": "718-351-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASTMAN",
"first_name": "NORMAN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "81439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.