William Fastenberg MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

083746 Issued in NY

Legal business name

WILLIAM FASTENBERG MD PC

Practice address

260 West Broadway
Suite 6F
Long Beach, NY 11561

Phone

(917) 838-5680

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

William Fastenberg, MD

Title

Physician

Phone

(917) 838-5680

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce A Fastenberg, MD

  • Ophthalmology Physician
  • Long Beach, NY
  • NPI 1396840708
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1821209263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WEST BROADWAY",
            "address_2": "SUITE 6F",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "917-838-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 WEST BROADWAY",
            "address_2": "SUITE 6F",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "917-838-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM FASTENBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "FASTENBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-838-5680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "083746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Gene Welsher, D.P.M.
• West Beech Chiropractic Imaging PC
• David Wheelock, LCSW
• Greg R. Wiegmann, RPH.
• Susan Theresa Wihnyk, RN
• Wendy Williams, FNP
• Dawn E. Williamson, M.D.
• Elizabeth Williamson
• Shakiera Wilson, RN, BSN
• Ashley Winn

• Ophthalmology Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.