Active NPI
Thomas L. Fabry, M.D.,P.C.
- Specialist
- New York, NY
National Provider Identifier
1881905958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 120320
- Legal business name
- THOMAS L. FABRY, M.D.,P.C.
- Practice address
- 1080 Fifth Avenue
Suite 1B
New York, NY 10128 - Phone
- (212) 996-6455
- Fax
- (212) 996-6692
- NPI assigned
- Jun 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas L Fabry, M.D.
- Title
- President
- Phone
- (212) 996-6455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 120320 | NY | Primary |
Addresses
Primary practice location
1080 Fifth Avenue
Suite 1B
New York, NY 10128
Mailing address
1080 Fifth Avenue
Suite 1B
New York, NY 10128
Phone (212) 996-6455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00373753 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- New York, NY
- NPI 1407952419
-
- Gastroenterology Physician
- Coral Springs, FL
- NPI 1992781876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1881905958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 FIFTH AVENUE",
"address_2": "SUITE 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-996-6455",
"fax_number": "212-996-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 FIFTH AVENUE",
"address_2": "SUITE 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10128",
"telephone_number": "212-996-6455",
"fax_number": "212-996-6692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS L. FABRY, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "FABRY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-996-6455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "120320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00373753",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.