Active NPI
Laurene Mary Fleischer, MD
- Pediatrics Physician
- Huntington, NY
National Provider Identifier
1851376107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 235680-1
- Practice address
- 205 E Main St
Suite 2-8
Huntington, NY 11743-2923 - Phone
- (631) 424-1741
- Fax
- (631) 424-1745
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 235680-1 | NY | Primary |
Addresses
Primary practice location
205 E Main St
Suite 2-8
Huntington, NY 11743-2923
Mailing address
205 E Main St
Suite 2-8
Huntington, NY 11743-2923
Phone (631) 424-1741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113635253 | Other | NY | CIGNA |
Other names 1
- Laurene Mary Merzbacher
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235680-1 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
Philadelphia, PA 19195
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1851376107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E MAIN ST",
"address_2": "SUITE 2-8",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432923",
"telephone_number": "631-424-1741",
"fax_number": "631-424-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E MAIN ST",
"address_2": "SUITE 2-8",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432923",
"telephone_number": "631-424-1741",
"fax_number": "631-424-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHER",
"first_name": "LAURENE",
"middle_name": "MARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "235680-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "113635253",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURENE",
"last_name": "MERZBACHER",
"middle_name": "MARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.