Richard David Fisse, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

134693 Issued in NY

Practice address

1353 49TH Street
Suite 2
Brooklyn, NY 11219

Phone

(718) 854-8527

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richardfisse@mai.allscriptsdirect.net

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.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• A Merryland Operating LLC

  • Adolescent Medicine (Family Medicine) Physician
  • Brooklyn, NY
  • NPI 1972848307
  NPD (past)
• Lafayette Medical Office, PC

  • Podiatrist
  • Brooklyn, NY
  • NPI 1912004995
  NPD (past)
• Maimonides Medical Center - MMC Gastroenterology FPP

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1932216660
  NPD (past)
• Medical Plaza of Boro Park PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1821325036
  NPD (past)
• Mermaid Management Inc

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1962793273
  NPD (past)
• Mermaid Operating Co, LLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1053379362
  NPD (past)
• Panamerican Medical Services P.C.

  • Ph.D. Medical Genetics
  • Ozone Park, NY
  • NPI 1528082971
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1831275569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 49TH STREET",
            "address_2": "SUITE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-854-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISSE",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "134693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "27802M622454780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MULTIPLAN",
            "identifier": "17802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KS738",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0014442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "000182501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF NY",
            "identifier": "000182501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00699752",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HJP",
            "identifier": "B78797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Fishner
• Montgomery Fishoff, LMSW
• Nina Fishoff, MS
• Sarah Fiske
• Jonathan Fiskus, PSYD
• Maria Fisson, NP
• Bryna Fistel
• Gabriela Fiszbein, LICSW
• Fit Feet Podiatry P.C.
• Fit Life Occupational Therapy P.C.

• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.