Individual provider Active NPI

Steven Mark Fogelman, M.D.

  • Psychiatry Physician
  • Rome, NY
National Provider Identifier
1821137712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
213561 Issued in NY
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01953882MedicaidNY

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
I20050316000408 NY Practitioner - Psychiatry 9133174782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis CountyGroup PAC ID 2668463779, 39 clinicians

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

OrganizationSpecialtyStatusNew patients
Lewis County General Hospital Psychiatry CurrentSince Mar 2, 2013 Accepting new patients
Lewis County General Hospital Current Accepting new patients
Lewis County CurrentSince Mar 2, 2013 Accepting new patients
Cny Mind & Wellness LLC CurrentSince Sep 8, 2025 Accepting new patients
Children's Home of Jefferson County CurrentSince Jan 24, 2012 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.