| NPI | 1073735593 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-05-03 |
| Last Updated | 2011-01-26 |
| Mailing Address | 260 Middle Country Rd, Suite 208 Smithtown, NY 11787-2982 United States Phone: (631) 863-3223 | Fax: (631) 863-3334 📍 View Map |
| Primary Practice Address | 260 Middle Country Rd, Suite 208 Smithtown, NY 11787-2982 United States Phone: (631) 863-3223 | Fax: (631) 863-3334 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207N00000X – Dermatology | NC | 2006-01943 |
| Yes | 207N00000X – Dermatology | NY | 252150-1 |
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About NPI 1073735593
Michael Fastenberg M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1073735593. The primary specialty listed is Dermatology. The provider is located in Smithtown, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1073735593?
NPI 1073735593 belongs to Michael Fastenberg M.D., a Dermatology in Smithtown, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1073735593 active?
The current status of NPI 1073735593 in the NPPES registry is Active. The record was last updated on 2011-01-26.
What specialty is NPI 1073735593?
NPI 1073735593 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1073735593?
You can verify NPI 1073735593 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1073735593?
The primary practice address on file for NPI 1073735593 is 260 Middle Country Rd, Smithtown, NY 11787-2982. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1073735593 issued?
NPI 1073735593 was first issued (enumerated) on 2007-05-03. The NPPES record was last updated on 2011-01-26.
Practice Location Map
Michael Fastenberg is located at 260 Middle Country Rd, Smithtown, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Michael Fastenberg. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1073735593. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | 2006-01943 | NC |
| Dermatology | 252150-1 | NY |