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Export Provider Record NPI 1093771206
Fernand F TheogeneM.D
Active
NPI Number1093771206
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1093771206
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-25
Last Updated2018-07-09
Mailing Address592 Rockaway Ave
Brooklyn, NY 11212-5539
United States
Phone: (718) 345-5000 | Fax: (718) 345-5794
📍 View Map
Primary Practice Address650 Ashford St
Brooklyn, NY 11207-7315
United States
Phone: (718) 345-5000 | Fax: (718) 345-5794
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY01847281
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineNY196985
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About NPI 1093771206

Fernand F Theogene M.D is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093771206. The primary specialty listed is Family Medicine. The provider is located in Brooklyn, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093771206?

NPI 1093771206 belongs to Fernand F Theogene M.D, a Family Medicine in Brooklyn, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093771206 active?

The current status of NPI 1093771206 in the NPPES registry is Active. The record was last updated on 2018-07-09.

What specialty is NPI 1093771206?

NPI 1093771206 is classified under the taxonomy Family Medicine. 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 1093771206?

You can verify NPI 1093771206 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 1093771206?

The primary practice address on file for NPI 1093771206 is 650 Ashford St, Brooklyn, NY 11207-7315. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093771206 issued?

NPI 1093771206 was first issued (enumerated) on 2006-04-25. The NPPES record was last updated on 2018-07-09.

Practice Location Map

Fernand F Theogene is located at 650 Ashford St, Brooklyn, NY. Use the map below to find directions or verify the practice location.

📍 650 Ashford St, Brooklyn, NY 11207-7315  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Fernand F Theogene. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093771206. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine196985NY
Data Verified from CMS NPPES Last synced: 2026-06-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162