Miron Fayngersh, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

197845 Issued in NY

Practice address

745 Ocean Pkwy
Brooklyn, NY 11230-1113

Phone

(718) 677-9700

Fax

(718) 859-5969

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By 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 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: General Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlantic Medical PCGroup PAC ID 1052202918, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.01 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.71

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Atlantic Medical PC

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1942421979
  Medicare reassignment Care Compare group NPD Authorized official
• North Star Medical PC

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
  • NPI 1053364653
  NPD (past) Authorized official
• Ocean Medical Diagnostics P.C.

  • Specialist
  • Brooklyn, NY
  • NPI 1770770661
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902918279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-677-9700",
            "fax_number": "718-859-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-677-9700",
            "fax_number": "718-859-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYNGERSH",
        "first_name": "MIRON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "197845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1553699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Edouard Fayette, D.D.S.
• Inna Fayfman, PHARM D
• Chanah Faygen
• Fayn Medical PC
• Stanley Faynblut
• Angelina Faynleyb, DDS
• Victoria Faynshtayn, DDS
• Ayesha Fayyaz, MD
• Nelly Fayzulina
• Okil Fayzullayev, MD

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• 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.