DR. KEITH S. FISHER


Address: 30 Central Park S, Suite 5c, New York, NY 10019-1628
Phone: 2128131780

DR. KEITH S. FISHER (NPI# 1740367101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740367101
Entity Type Individual
Full Name DR. KEITH S. FISHER
Credential D.D.S.
Practice Address 30 Central Park S
Suite 5c
New York
NY 10019-1628
Practice Telephone 2128131780
Practice Fax Number 2126448266
Mailing Telephone 2128131780
Mailing Fax Number 2126448266
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
044131 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
AETNA 3032829 01
DMO 5832282 01
CIGNA 245824 01
DHA 42531 01
NY 01690495 05

Other Providers KEITH FISHER

NPI Name Taxonomy Address Enumeration
1497891485 Keith Paul Fisher Dentist 1001 S Market Street, Mechanicsburg, PA 17055-4748 2007-01-29
1033197074 Keith L Fisher Pathology 1114 West Madison Ave, Athens, TN 37371 2006-01-09
1265423107 Keith Denton Fisher Ophthalmology 909 9th Avenue, #404, Fort Worth, TX 76104-3918 2005-10-31
1124073929 Keith C. Fisher Physical Therapist 1212 Memorial Dr, Suite 1, Manitowoc, WI 54220-2247 2006-05-23
1609866276 Keith A Fisher Psychiatry & Neurology 11124 Wurzbach Rd, Ste 206, San Antonio, TX 78230-2438 2005-10-25

Office Location

Street Address 30 CENTRAL PARK S
SUITE 5C
City NEW YORK
State NY
Zip Code 10019-1628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194728196 Gail Ellen Schupak Dentist 30 Central Park S, Suite 6c, New York, NY 10019-1628 2005-05-23
1427582147 Dr. Eda Ellis Dental PC Dentist 30 Central Park S, Suite 7a, New York, NY 10019-1628 2017-04-19
1184079477 Central Park Dental Spa Clinic/Center 30 Central Park S, 7a, New York, NY 10019-1628 2016-04-25
1316316649 Janash Dental Services Dentist 30 Central Park S, Suite #13c, New York, NY 10019-1628 2015-09-16
1982000378 Beaute Des Arts Clinic/Center 30 Central Park S, Suite 1 C/d, New York, NY 10019-1628 2014-11-12
1316356041 Danamarie Belpulsi Md Specialist/Technologist, Other 30 Central Park S, Suite 1 C-d, New York, NY 10019-1628 2014-08-06
1558777169 Lauren Maxime Feldman Dentist 30 Central Park S, Suites 2b and 2c, New York, NY 10019-1628 2014-07-02
1821411000 Center for Dental Implants LLC Dentist 30 Central Park S, Suite 11d, New York, NY 10019-1628 2014-01-24
1629409131 S. Lawrence Simon Dentist 30 Central Park S, Suite 10- D, New York, NY 10019-1628 2013-12-09
1437583291 S. Lawrence Simon, D.d.s., P.C. Dentist 30 Central Park S, Suite 10-d, New York, NY 10019-1628 2013-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497391486 Central Park Gyn Obstetrics & Gynecology 233 W 58th Street, New York, NY 10019 2019-11-25
1336794486 Olivia Mandelbaum Psychologist Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 2019-08-06
1740835958 Kara Kaplan Physical Medicine & Rehabilitation 1 W 59th Street, Level A, La Palestra, New York, NY 10019 2019-08-05
1376196048 Dyan Lesley Diemer Massage Therapist The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 2019-07-22
1144882499 Tomohiro Fujisaki Student in an Organized Health Care Education/Training Program 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 2019-07-07
1558823070 Nazanin Khajoueinejad Student in an Organized Health Care Education/Training Program 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 2019-04-03
1356801153 Nicholas Theodoropoulos Student in an Organized Health Care Education/Training Program 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 2019-03-20
1265990345 Prohealth Care Associates, LLP Occupational Therapist 244-250 West 54th Street, Suite 404, New York, NY 10019 2019-03-07
1043784804 Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc Dentist 135 West 58 Street, Suite 1d, Nyc, NY 10019 2019-01-15
1053881680 Mary Pender Greene Social Worker 311a West 50 Street, New York, NY 10019 2018-11-27
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053921643 Upper West Side Oral & Maxillofacial Surgery Dentist 140 W 69th St Ph 1g, New York, NY 10023-5173 2020-08-07
1467092965 Nyc Implant and Oral Surgery PC Dentist 30 E 60th St Ste 907, New York, NY 10022-1058 2020-01-13
1205344819 Ray Cheng Dds Dentist 217 Park Row Ste 4b, New York, NY 10038-1101 2018-01-17
1235541038 Azaz Awan Dentist 335 Malcolm X Blvd, New York, NY 10027-3703 2014-05-28
1699196329 Majid Jamali, Dmd, P.C. Dentist 42 Broadway Ste 1501, New York, NY 10004-1617 2013-12-24
1518268739 Abdul Basit Karim Dentist 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 2010-11-04
1134356157 Anayo Obi Adachie Dentist 10 Union Sq E Ste 5b, New York, NY 10003-3314 2009-06-17
1598991044 Leslie Abraham Dentist 200 E 57th St, Apt 5j, New York, NY 10022-2860 2009-06-10
1316173537 Jennifer Frangos Dentist 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 2009-06-02
1821223041 Marcello Guglielmi Dentist 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 2009-05-18
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Competitor

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City NEW YORK
Zip Code 10019

Improve Information

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Dataset Information

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.

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