Active NPI
Steven Mark Fogelman, M.D.
- Psychiatry Physician
- Rome, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 213561
- Practice address
- 801 Cypress St
Rome, NY 13440-2129 - Phone
- (315) 339-6536
- Fax
- (315) 339-8089
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 213561 | NY | Primary |
Addresses
Primary practice location
801 Cypress St
Rome, NY 13440-2129
Mailing address
801 Cypress St
Rome, NY 13440-2129
Phone (315) 339-6536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01953882 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7785 N State St
Podiatry
Lowville, NY 13367-1229
Phone (315) 376-5431
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County General Hospital | Psychiatry | Current | Accepting new patients |
| Lewis County General Hospital | Current | Accepting new patients | |
| Lewis County | Current | Accepting new patients | |
| Cny Mind & Wellness LLC | Current | Accepting new patients | |
| Children's Home of Jefferson County | Current | Accepting new patients |
Locations
338 E State St
Herkimer, NY 13350
Phone (315) 733-5206
7785 N State St
Lowville, NY 13367
Phone (315) 376-5102
7550 S State St
Lowville, NY 13367
Phone (315) 376-5450
7785 N State St
#13282
Lowville, NY 13367
Phone (315) 376-5200
258 Genesee St
Ste 203
Utica, NY 13502
Phone (315) 335-1285
211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 779-1184
Interoperability endpoints
- sfogelman@hiemail.healtheconnections.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lyons Falls, NY
- NPI 1568534303
-
- Community/Behavioral Health Agency
- Watertown, NY
- NPI 1538455696
-
- Psychiatric/Mental Health Nurse Practitioner
- Utica, NY
- NPI 1811727613
-
- Public Health or Welfare Agency
- Lowville, NY
- NPI 1114659778
-
- Psychiatry Physician
- Lowville, NY
- NPI 1982954178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821137712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 CYPRESS ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402129",
"telephone_number": "315-339-6536",
"fax_number": "315-339-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CYPRESS ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402129",
"telephone_number": "315-339-6536",
"fax_number": "315-339-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGELMAN",
"first_name": "STEVEN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "213561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01953882",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.