DR. BRETT EMERSON FORTUNE (NPI# 1720121585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720121585 |
| Entity Type | Individual |
| Full Name | DR. BRETT EMERSON FORTUNE |
| Credential | M.D. |
| Practice Address |
1305 York Ave Fl 4 New York NY 10021-5663 |
| Practice Telephone | 6469625483 |
| Practice Fax Number | 6469620363 |
| Mailing Telephone | 6469625483 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35088963 | OH | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
051154 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
283730 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2729917 | 05 |
| Street Address |
1305 YORK AVE FL 4 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813688 | Gadi Lalazar | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2019-04-14 |
| 1912448846 | Allysa Danielle Saggese | Registered Nurse | 1305 York Ave Fl 4, New York, NY 10021 | 2017-03-10 |
| 1497166573 | Waseem Ahmed | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2014-05-12 |
| 1851651145 | Carolyn Newberry | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021 | 2012-05-21 |
| 1649539974 | Kartik Sampath | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021 | 2012-05-07 |
| 1659637254 | Andrea Lynn Betesh | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021 | 2012-04-09 |
| 1003188293 | Sarah C Patel | Physician Assistant | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2012-02-02 |
| 1114217635 | Russell Rosenblatt | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2011-04-18 |
| 1578862751 | Shashi N Kapadia | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2011-03-27 |
| 1922304013 | Tashi Y Choney | Nurse Practitioner | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2011-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 207RI0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hepatology |
| The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
| Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447888318 | Augusto Villanueva Rodriguez | Internal Medicine | 1425 Madison Ave Rm 11-70e, New York, NY 10029-6514 | 2020-03-27 |
| 1023274248 | Marie-louise Claire Vachon | Internal Medicine | 5 East 98th Street 11th Floor, Mount Sinai Medical Center (faculty Practice Assoc/fpa), New York, NY 10029-6574 | 2008-08-07 |
| 1396081345 | Genevieve Huard | Internal Medicine | 1 Gustave L Levy Pl, New York, NY 10029-6574 | 2012-12-19 |
| 1114217635 | Russell Rosenblatt | Internal Medicine | 1305 York Ave Fl 4, New York, NY 10021-5663 | 2011-04-18 |
| 1396782629 | Robert Stephen Brown Jr. | Internal Medicine | 622 W 168th St, Ph14-c, New York, NY 10032-3720 | 2006-06-02 |
| 1790739217 | Trustees of Columbia University In The City of New York | Internal Medicine | 622 W 168th St, Ph14-c, New York, NY 10032-3720 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255352084 | Gastrointestinal and Hepatobiliary Consultants PC | Internal Medicine | Nymc-munger Pavilion, Suite 206, Valhalla, NY 10595 | 2006-07-21 |
| 1518984277 | Digestive Disease Consultants,inc. | Internal Medicine | 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 2006-07-17 |
| 1356308738 | Peter Francis Malet | Internal Medicine | 222 Station Plaza North, Suite 428, Mineola, NY 11501 | 2006-04-28 |
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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.