Active NPI
Joshua Fink, MD
- Pulmonary Disease Physician
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 179500-1
- Practice address
- 41 S Bedford Rd
Mount Kisco, NY 10549-3407 - Phone
- (914) 393-4127
- Fax
- (914) 763-0099
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 040667 | CT | |
| Internal Medicine Physician | 207R00000X | 40667 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 179500-1 | NY | Primary |
Addresses
Primary practice location
41 S Bedford Rd
Mount Kisco, NY 10549-3407
Mailing address
59 Truesdale Lake Dr
South Salem, NY 10590-1317
Phone (914) 393-4127
Other practice location 1
21 South Rd Ste 110
Farmington, CT 06032-2482
Phone (860) 284-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Gaylord Farm Rd
Wallingford, CT 06492-2828
Phone (203) 284-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40667 | CT | MD | Internal Medicine Physician |
| 040667 | CT | MD | Pulmonary Disease Physician |
| 179500-1 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Physicians PC | Internal Medicine | Current | Accepting new patients |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Gaylord Hospital, Inc. | Current | Accepting new patients | |
| Masonicare Behavioral Health, LLC | Past | Accepting new patients | |
| Masonicare Primary Care Physicians | Past | Accepting new patients |
Locations
21 South Rd
Ste 110
Farmington, CT 06032
Phone (860) 284-4945
50 Gaylord Farm Rd
Wallingford, CT 06492
Phone (203) 679-3553
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
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 and National Provider Directory roles.
-
- Long Term Care Hospital
- Wallingford, CT
- NPI 1730137753
-
- Geriatric Psychiatry Physician
- Wallingford, CT
- NPI 1992781488
-
- Geriatric Medicine (Internal Medicine) Physician
- Wallingford, CT
- NPI 1922084540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1861551145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 TRUESDALE LAKE DR",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105901317",
"telephone_number": "914-393-4127",
"fax_number": "914-763-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493407",
"telephone_number": "914-393-4127",
"fax_number": "914-763-0099"
}
],
"practiceLocations": [
{
"address_1": "21 South Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060322482",
"country_code": "US",
"telephone_number": "860-284-5200",
"fax_number": "860-409-4077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FINK",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "040667",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "40667",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "179500-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.