Individual provider Active NPI

Joshua Fink, MD

  • Pulmonary Disease Physician
  • Mount Kisco, NY
National Provider Identifier
1861551145
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
179500-1 Issued in NY
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

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100719000665 CT Practitioner - Internal Medicine 7810029386 Reassigns benefits to 2 organizations
I20240904003200 NY Practitioner - Internal Medicine 7810029386 Reassigns benefits to 1 organization

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
Gaylord Hospital, Inc.Group PAC ID 1153224191, 39 clinicians

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

LicenseStateTypeSpecialty
40667CTMDInternal Medicine Physician
040667CTMDPulmonary Disease Physician
179500-1NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Internal Medicine CurrentSince Oct 29, 2018 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Aug 28, 2024 Accepting new patients
Gaylord Hospital, Inc. CurrentSince Nov 5, 2018 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 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.

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

Verify at the official NPI Registry.