Active NPI
James Fine, M.D
- Addiction Medicine (Psychiatry & Neurology) Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 139360
- Practice address
- 375 Seguine Ave
Staten Island, NY 10309-3932 - Phone
- (207) 660-5253
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 014268 | ME | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 139360 | NY | Primary |
Addresses
Primary practice location
375 Seguine Ave
Staten Island, NY 10309-3932
Mailing address
7 Livingston Ave
New Brunswick, NJ 08901-4083
Phone (207) 660-5253
Other practice location 1
43 Hooper St.
Wiscasset, ME 04578
Phone (207) 687-2180
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230206000114 | NY | Practitioner - Addiction Medicine | 0648283887 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
375 Seguine Ave
Staten Island, NY 10309-3932
Phone (718) 226-6902
Hospital & facility affiliations
- Staten Island University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014268 | ME | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
| 139360 | NY | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Motivational Services Inc | Past | Accepting new patients | |
| Staten Island University Hospital | Past | Accepting new patients | |
| Staten Island University Hospital | Past | Accepting new patients | |
| Umbrella Mental Health Services, PA | Past | Accepting new patients | |
| Community Correctional Alternatives, Inc. | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
300 Community Dr
Plandome, NY 11030
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- jfine68199@northwell.direct-ci.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
- Psychiatric Hospital Unit
- Staten Island, NY
- NPI 1912925199
-
- Community/Behavioral Health Agency
- Waterville, ME
- NPI 1376628537
-
- Voluntary or Charitable Agency
- Augusta, ME
- NPI 1609983907
-
- Mental Health Counselor
- Damariscotta, ME
- NPI 1700996063
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1821079237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LIVINGSTON AVE",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089014083",
"telephone_number": "207-660-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 SEGUINE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103093932",
"telephone_number": "207-660-5253"
}
],
"practiceLocations": [
{
"address_1": "43 Hooper St.",
"address_purpose": "LOCATION",
"city": "Wiscasset",
"state": "ME",
"postal_code": "04578",
"country_code": "US",
"telephone_number": "207-687-2180",
"fax_number": "207-687-2181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINE",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2023-05-04",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "ME",
"license": "014268",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NY",
"license": "139360",
"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 May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.