DR. DONALD FAGELMAN MD NPI 1669476446

NPI Information

  • NPI: 1669476446
  • Provider Name: DR. DONALD FAGELMAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 EAST MAIN ST.
    NSLIJ- SOUTHSIDE HOSPITAL, DEPT. OF RADIOLOGY
    BAY SHORE, NY
    ZIP 11706
  • Phone: (631) 968-3290

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NPI Details

DR. Donald Fagelman, MD is a diagnostic radiology radiology in Bay Shore, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Donald Fagelman, MD NPI is 1669476446. 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:

301 EAST MAIN ST.
NSLIJ- SOUTHSIDE HOSPITAL, DEPT. OF RADIOLOGY
BAY SHORE, NY
ZIP 11706
Phone: (631) 968-3290
Fax: (631) 968-7486

The NPI 1669476446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 6/11/2015.

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
12085R0202XRadiologyDiagnostic Radiology142132NEW YORKYes

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
132A551MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2B12921MEDICARE UPINNEW YORK

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: 11/21/2025

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