Michael Dudi Fish, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

051021 Issued in NY

Practice address

280 N Central Ave
Suite 430
Hartsdale, NY 10530-1832

Phone

(914) 421-1010

Fax

(914) 421-1037

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1891914032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE",
            "address_2": "SUITE 430",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301832",
            "telephone_number": "914-421-1010",
            "fax_number": "914-421-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N CENTRAL AVE",
            "address_2": "SUITE 430",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301832",
            "telephone_number": "914-421-1010",
            "fax_number": "914-421-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "MICHAEL",
        "middle_name": "DUDI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Amber Ferrelli
• Candace Fevrier, LMSW
• Tali Filstein, PSYCHOLOGY EXTERN
• Emma Marisa Finkelstein, PTA
• Ilana Finkelstein, OTR/L
• Vinnette A Fisher, FNP
• Kasey Fitzgerald, MS, OTR/L
• Erin Margaret Flynn, PT, DPT
• Megan S. Flynn, PH.D.
• Katherine Fraine, OTR/L

• Dentist in Hartsdale, NY
• Providers in Hartsdale, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.