Bruce D Fischer DPM LLC, DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004228 1 Issued in NY

Practice address

19 Edward J Lempka Dr
Florida, NY 10921

Phone

(845) 651-3668

Fax

(845) 651-1697

NPI assigned

Jan 20, 2006

Last updated

Jul 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whole Foot Care PLLC

  • Podiatrist
  • Warwick, NY
  • NPI 1609537836
  Medicare reassignment NPD

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1881674349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RONALD REAGAN BLVD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109904115",
            "telephone_number": "845-986-8400",
            "fax_number": "845-986-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EDWARD J LEMPKA DR",
            "city": "FLORIDA",
            "state": "NY",
            "postal_code": "10921",
            "telephone_number": "845-651-3668",
            "fax_number": "845-651-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER DPM LLC",
        "first_name": "BRUCE",
        "middle_name": "D",
        "credential": "DPM LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD 1809",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004228 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01071645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith A Duboff, ATR-BC,LCAT
• Dynamic Center Inc.
• Dynamic Center Inc.
• Dorota Helena El Nagar, LPN
• Joanne Feiner, NP
• Florida Pharmacy Inc.
• Florida Union Free School District
• Shannon Flynn, MS.ED
• Maureen Patricia Foote
• Wendi Foster Culver

• Podiatrist in Florida, NY
• Providers in Florida, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.

Verify at the official NPI Registry.