Fiducia Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

170513 Issued in NY

Legal business name

FIDUCIA MEDICAL PC

Practice address

359 Clinton St
Brooklyn, NY 11231-3701

Phone

(718) 875-3070

Fax

(718) 875-7864

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric W. Kenworthy, M.D.NPI 1174537583

Title

Owner

Phone

(718) 875-3070

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Kenworthy, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1174537583
  Authorized official Same address or phone
• Mark B Irwin, M.D.

  • Urology Physician
  • Brooklyn, NY
  • NPI 1508860263
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922199181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313701",
            "telephone_number": "718-875-3070",
            "fax_number": "718-875-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112313701",
            "telephone_number": "718-875-3070",
            "fax_number": "718-875-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDUCIA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-875-3070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Chanie Fiddle
• Fidelis Medical Supply LLC
• Fidelity Home Care, Inc.
• Jason D Fidler, DC
• Audrey Fidric, CAT-LP
• Dianne Fiedtkou
• Shir Fieg
• Nicole Loryn Fiel, MSED
• Deborah Field, COTA
• Eve Rebecca Field, M.S.CCC/SLP

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.