DR. DONALD FAGELMAN MD NPI 1669476446

NPI Information

NPI: 1669476446
Provider Name: DR. DONALD FAGELMAN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

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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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 Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), 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
1	2085R0202X	Radiology	Diagnostic Radiology	142132	NEW YORK	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	32A551	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	B12921	MEDICARE UPIN	NEW 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: 5/5/2024

NPI Synchronization or Removal

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