Individual provider Active NPI

Lester N. Fogelsanger, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1881785442
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD427836 Issued in PA
Practice address
1810 Liacouras Walk
5TH Floor
Philadelphia, PA 19122-6026
Phone
(215) 204-7276
Fax
(215) 204-5419
NPI assigned
Sep 27, 2006
Last updated
Aug 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD427836 PA Primary

Addresses

Primary practice location

1810 Liacouras Walk
5TH Floor
Philadelphia, PA 19122-6026

Mailing address

1810 Liacouras Walk
5TH Floor
Philadelphia, PA 19122-6026
Phone (215) 204-7276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100810001038 PA Practitioner - Psychiatry 0446384606 Reassigns benefits to 1 organization
Practice locations: Wayne, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 W Lancaster Ave
Suite 2B
Wayne, PA 19087-3938
Phone (215) 760-4461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lester Neil Fogelsanger Psychiatry CurrentSince Aug 15, 2015 Accepting new patients

Locations

303 W Lancaster Ave
Ste 2B
Wayne, PA 19087
Phone (215) 760-4461

303 W Lancaster Ave
Ste 2A
Wayne, PA 19087
Phone (215) 760-4461

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1881785442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 LIACOURAS WALK",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191226026",
            "telephone_number": "215-204-7276",
            "fax_number": "215-204-5419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LIACOURAS WALK",
            "address_2": "5TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191226026",
            "telephone_number": "215-204-7276",
            "fax_number": "215-204-5419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGELSANGER",
        "first_name": "LESTER",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD427836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.