Active NPI
Mitchell Evan Fishler, LMSW
- Social Worker
- Swan Lake, NY
National Provider Identifier
1912914672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 069015
- Practice address
- 4551 Rte 55
Swan Lake, NY 12783 - Phone
- (885) 292-6880
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 069015 | NY | Primary |
Addresses
Primary practice location
4551 Rte 55
Swan Lake, NY 12783
Mailing address
22 Lakeview Drive
Kiamesha Lake, NY 12751
Phone (845) 791-5926
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069015 | NY | MD | Pharmacist |
Interoperability endpoints
- mfishler@synergyofmonticello.medentdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912914672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 LAKEVIEW DRIVE",
"city": "KIAMESHA LAKE",
"state": "NY",
"postal_code": "12751",
"telephone_number": "845-791-5926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4551 RTE 55",
"city": "SWAN LAKE",
"state": "NY",
"postal_code": "12783",
"telephone_number": "885-292-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHLER",
"first_name": "MITCHELL",
"middle_name": "EVAN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "069015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swan Lake, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.