JASON C FISHER M.D. NPI 1306860663

NPI Information

NPI: 1306860663
Provider Name: JASON C FISHER, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
530 1ST AVE
DIVISION OF PEDIATRIC SURGERY, SUITE 10W
NEW YORK, NY
ZIP 10016
Phone: (212) 263-7391
Get Directions

Jason C Fisher, M.D. is a pediatric surgery surgery in New York, NY with 21 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Jason C Fisher, M.D. NPI is 1306860663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

530 1ST AVE
DIVISION OF PEDIATRIC SURGERY, SUITE 10W
NEW YORK, NY
ZIP 10016-402
Phone: (212) 263-7391
Fax: (212) 263-6590

The NPI 1306860663 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		25MA08088300	NEW JERSEY	No
2	208600000X	Surgery		234-277	NEW YORK	No
3	2086S0120X	Surgery	Pediatric Surgery	25MA08088300	NEW JERSEY	No
4	2086S0120X	Surgery	Pediatric Surgery	234-277	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	35-094903	OTHER	OHIO	LICENSE
2	234-277	OTHER	NEW YORK	LICENSE
3	D08910700	OTHER	NEW JERSEY	CDS
4	08088300	OTHER	NEW JERSEY	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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