Bernard Harold Fagin, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

101734 Issued in NY

Practice address

1985 Crompond Road
BLDG D
Cortland Manor, NY 10567

Phone

(914) 739-1219

Fax

(914) 739-2353

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bernard.fagin@direct.hvhc.org

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.

• The Westchester Medical Practice, PC

  • Specialist
  • Yorktown Heights, NY
  • NPI 1225222953
  Medicare reassignment NPD
• East Hudson Urology Group PC

  • Urology Physician
  • Carmel, NY
  • NPI 1801066030
  NPD (past) Authorized official
• The Westchester Medical Practice, PC

  • Multi-Specialty Clinic/Center
  • Cortlandt Manor, NY
  • NPI 1982109120
  NPD
• Docs Physicians Affiliated With Bimc

  • General Practice Physician
  • New York, NY
  • NPI 1821016692

  Urology

  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1992811848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD STE 304",
            "address_2": "BLDG D",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982938",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 CROMPOND ROAD",
            "address_2": "BLDG D",
            "city": "CORTLAND MANOR",
            "state": "NY",
            "postal_code": "10567",
            "telephone_number": "914-739-1219",
            "fax_number": "914-739-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGIN",
        "first_name": "BERNARD",
        "middle_name": "HAROLD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "101734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "SS011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA-HMO",
            "identifier": "76657",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00362309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dipan Kaur Jackson, N.P
• Suneetha Pattisapu, MD

• Urology Physician in Cortland Manor, NY
• Providers in Cortland Manor, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.

Verify at the official NPI Registry.