Active NPI
Douglas William Fields, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- New York, NY
National Provider Identifier
1962586248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 191453
- Practice address
- 1879 Madison Ave
New York, NY 10035-2709 - Phone
- (212) 423-4000
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 191453 | NY | Primary |
Addresses
Primary practice location
1879 Madison Ave
New York, NY 10035-2709
Mailing address
PO Box 34821
Newark, NJ 07101
Phone (800) 540-8739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191453 | NY | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geneva General Hospital | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Emergency Medical Services | Current | Accepting new patients |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Jersey City Medical Center | Past | Accepting new patients | |
| Madison Avenue Emergency Medicine PC | Past | Accepting new patients | |
| Greenville Hospital | Past | Accepting new patients | |
| Lincon Medical and Mental Center | Past | Accepting new patients |
Locations
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
196 North St
Geneva, NY 14456
Phone (315) 787-4156
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Internal Medicine Physician
- Geneva, NY
- NPI 1689717209
-
- Critical Access Hospital
- Bronx, NY
- NPI 1902979651
-
- Emergency Medicine Physician
- New York, NY
- NPI 1073686739
-
- Emergency Medicine Physician
- Jersey City, NJ
- NPI 1447292727
-
- Emergency Medicine Physician
- Jersey City, NJ
- NPI 1053350421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962586248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34821",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07101",
"telephone_number": "800-540-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100352709",
"telephone_number": "212-423-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "DOUGLAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "191453",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.