DR. THOMAS FISCHER (NPI# 1437187101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437187101 |
| Entity Type | Individual |
| Full Name | DR. THOMAS FISCHER |
| Credential | M.D. |
| Practice Address |
519 W Jericho Tpke Smithtown NY 11787-2619 |
| Mailing Address |
1345 Rxr Plz Fl 13 Uniondale NY 11556-1301 |
| Practice Telephone | 6313605900 |
| Practice Fax Number | 6313609403 |
| Mailing Telephone | 5164530435 |
| Mailing Fax Number | 6468463283 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 164238 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 5948660 | 01 |
| NY | 01870415 | 05 | |
| NY | EMPIRE BC.BS | 03B451 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4724 Nesconset Hwy, Port Jefferson Station, NY 117762580 | 6314745900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211488 | Thomas Fischer | Specialist/Technologist | 2729 County Road 5, Marshall, MN 56258-5353 | 2018-10-16 |
| 1215187489 | Thomas Aquinas Fischer | Psychologist | 111 Lake Avenue Suite 4, Tuckahoe, NY 10707 | 2008-09-24 |
| 1134269236 | Thomas R Fischer | Physical Therapist | 441 Nw Prima Vista Blvd., Port Saint Lucie, FL 34983 | 2007-02-07 |
| 1851801898 | Thomas Fischer | Physical Therapy Assistant | 5446 N Academy Blvd, Colorado Springs, CO 80918-3644 | 2017-10-04 |
| 1215310610 | Thomas Fischer | Family Medicine | 4600 Valley Road, Ste 200, Lincoln, NE 68510-4882 | 2015-07-02 |
| 1174622179 | Thomas J Fischer | Dentist | 60 Timber Ln, South Burlington, VT 05403-7204 | 2006-09-22 |
| 1528077229 | Thomas James Fischer | Orthopaedic Surgery | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2006-08-05 |
| 1841239001 | Thomas J. Fischer | Allergy & Immunology | 3333 Burnet Ave, Allergy Ml 2000, Cincinnati, OH 45229-3026 | 2006-06-05 |
| Street Address |
519 W JERICHO TPKE |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114970753 | Paolo Thomas Coppola | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-05-17 |
| 1043713548 | City Medical of Upper East Side, Pllc | Clinic/Center | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2018-03-12 |
| 1396175170 | Stat Health Immediate Medical Care, PC | Clinic/Center | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2013-11-15 |
| 1316168321 | Stat Health Immediate Medical Care, PC | General Practice | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2007-05-01 |
| 1669514147 | Richard Scott Goldstein | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2007-02-13 |
| 1104994912 | Marc Richard Salzberg | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-12-01 |
| 1619067543 | Mary Jo Mcbride | Physician Assistant | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-10-13 |
| 1346254471 | Bruce Sanderov | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-07-27 |
| 1184646176 | Sarah Arzt | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-07-25 |
| 1760413934 | Sandra Rose Picone | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518038009 | Ronni Sollazzo | Emergency Medicine | 267 E Main St Bldg C, Smithtown, NY 11787-2847 | 2006-11-13 |
| 1114970753 | Paolo Thomas Coppola | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-05-17 |
| 1356507099 | Siena Emergency Medical Services, P.C. | Emergency Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2008-08-01 |
| 1063672020 | Joshua Peter Bozek | Emergency Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2008-06-12 |
| 1669514147 | Richard Scott Goldstein | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2007-02-13 |
| 1104994912 | Marc Richard Salzberg | Emergency Medicine | 519 W Jericho Tpke, Smithtown, NY 11787-2619 | 2006-12-01 |
| 1801967369 | Maria London | Emergency Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-11-13 |
| 1285705723 | Rodrigo Delrosario | Emergency Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-11-13 |
| 1972674414 | John Veliath | Emergency Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-11-13 |
| 1265503718 | Janice Moldashel | Emergency Medicine | 50 Route 25a, Smithtown, NY 11787-1348 | 2006-11-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.