KEITH FISHBEIN MD NPI 1407851207

NPI Information

NPI: 1407851207
Provider Name: KEITH FISHBEIN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
23831 MARBELLA BAY RD
SUITE 102
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 494-8404
Get Directions

Keith Fishbein, MD is a cardiovascular disease internal medicine in Bonita Springs, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Keith Fishbein, MD NPI is 1407851207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23831 MARBELLA BAY RD
SUITE 102
BONITA SPRINGS, FL
ZIP 34135-830
Phone: (239) 494-8404

The enumeration date for this NPI number is 6/17/2005 and was last updated on 5/18/2009.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA04065700	NEW JERSEY	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	22-3505477	OTHER		TIN
2	0031965000	OTHER	NEW JERSEY	AMERIHEALTH #
3	C53741	MEDICARE UPIN	NEW JERSEY
4	MES208	OTHER	NEW JERSEY	OXFORD PROVIDER #
5	23-2865181	OTHER		TIN
6	179108AJZ	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	MEDICARE #
7	F06621	OTHER	NEW JERSEY	HEALTHNET ID #
8	34706	OTHER	NEW JERSEY	AETNA HMO #
9	222908710	OTHER	NEW JERSEY	TAX IDENTIFICATION #
10	4096206	OTHER	NEW JERSEY	AETNA PPO #
11	1130611	OTHER	NEW JERSEY	HORIZON NJ HEALTH #
12	0176206	MEDICAID	NEW JERSEY

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: 11/14/2023

NPI Synchronization or Removal

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