Individual provider Active NPI

Noelle Joy Fischer

  • General Practice Dentistry
  • Mount Kisco, NY
National Provider Identifier
1952991978
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062523 Issued in NY
Practice address
83 S Bedford Rd FL 3
Mount Kisco, NY 10549-3429
Phone
(914) 242-7100
NPI assigned
Jan 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13373 CT
General Practice Dentistry 1223G0001X 062523 NY Primary

Addresses

Primary practice location

83 S Bedford Rd FL 3
Mount Kisco, NY 10549-3429

Mailing address

192 Ketay Dr S
East Northport, NY 11731-5033
Phone (631) 219-8337

Other practice location 1

111 East Ave Ste 214
Norwalk, CT 06851-5014
Phone (203) 866-7164

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

LicenseStateTypeSpecialty
062523NYMDGeneral Practice Dentistry
13373CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Asnis Dental of Connecticut LLC PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1952991978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 KETAY DR S",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117315033",
            "telephone_number": "631-219-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S BEDFORD RD FL 3",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493429",
            "telephone_number": "914-242-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 East Ave Ste 214",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515014",
            "country_code": "US",
            "telephone_number": "203-866-7164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "NOELLE",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13373",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.