Active NPI
Alexander Fish, D.P.M.
- Podiatrist
- New York, NY
National Provider Identifier
1912040411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004229-1
- Practice address
- 825 7 Ave
Lower Level
New York, NY 10019-6014 - Phone
- (212) 757-7437
- Fax
- (212) 245-4060
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004229-1 | NY | Primary |
Addresses
Primary practice location
825 7 Ave
Lower Level
New York, NY 10019-6014
Mailing address
11201 Queens Blvd Apt 15H
Flushing, NY 11375-5591
Phone (718) 268-5215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3604954 | Other | NY | OXFORD ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004229 | NY | MD | Acupuncturist |
| N004229-1 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1912040411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 QUEENS BLVD APT 15H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113755591",
"telephone_number": "718-268-5215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 7 AVE",
"address_2": "LOWER LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100196014",
"telephone_number": "212-757-7437",
"fax_number": "212-245-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004229-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID NUMBER",
"identifier": "P3604954",
"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 Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.