Richard Federbush MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

178410 Issued in NY

Legal business name

RICHARD FEDERBUSH MD PC

Practice address

175 Jericho Tpke
Suite 216
Syosset, NY 11791-4532

Phone

(516) 364-9800

Fax

(516) 364-9802

NPI assigned

Dec 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard Bart Federbush, MD

Title

President

Phone

(516) 364-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1851694897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TURNPIKE",
            "address_2": "SUITE 216",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914538",
            "telephone_number": "516-364-9800",
            "fax_number": "516-364-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 216",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-364-9800",
            "fax_number": "516-364-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD FEDERBUSH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "FEDERBUSH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-364-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.