Individual provider Active NPI

Yevgeny Fulman, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1912909466
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
218673 Issued in NY
Practice address
550 1St Ave
Rusk 607
New York, NY 10016-6402
Phone
(212) 263-5072
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 218673 NY Primary

Addresses

Primary practice location

550 1St Ave
Rusk 607
New York, NY 10016-6402

Mailing address

550 1St Ave
Rusk 607
New York, NY 10016-6402
Phone (212) 263-5072

Other identifiers 1

IdentifierTypeStateIssuer
02111622MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110228000753 NY Practitioner - Anesthesiology 3072794791 Reassigns benefits to 3 organizations
I20211123001869 FL Practitioner - Anesthesiology 3072794791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

7431 Gladiolus Dr
Fort Myers, FL 33908-5122
Phone (239) 689-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218673NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Anesthesiology Current Accepting new patients
New York University Anesthesiology CurrentSince Jan 1, 2011 Accepting new patients
Ramapo Anesthesiologists, PC Anesthesiology CurrentSince Jul 11, 2023 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
New York University CurrentSince Aug 1, 2000 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Apr 27, 2022 Accepting new patients
Gastrointestinal Care of Long Island PLLC PastSince Mar 10, 2025 Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

5065 S State Road 7
Ste 101
Lake Worth, FL 33449
Phone (561) 273-2340

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

873 Route 45
Ste 104
New City, NY 10956
Phone (845) 362-1081

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

500 New Hempstead Rd
New City, NY 10956
Phone (845) 362-1350

400 E 34th St
New York, NY 10016
Phone (212) 263-6037

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

160 E 34th St
New York, NY 10016
Phone (212) 731-5180

550 1st Ave
#607
New York, NY 10016

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

233 Lafayette Ave
Ste LL5
Suffern, NY 10901
Phone (914) 794-7741

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1912909466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "address_2": "RUSK 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 1ST AVE",
            "address_2": "RUSK 607",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "212-263-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMAN",
        "first_name": "YEVGENY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "218673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02111622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.