BRUCE A FASTENBERG (NPI# 1396840708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396840708 |
| Entity Type | Individual |
| Full Name | BRUCE A FASTENBERG |
| Credential | MD |
| Practice Address |
260 West Broadway Suite 6f Long Beach NY 11561 |
| Practice Telephone | 9178385680 |
| Mailing Telephone | 9178385680 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 210692 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02191073 | 05 |
| Street Address |
260 WEST BROADWAY SUITE 6F |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326436411 | William Fastenberg | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2014-12-26 |
| 1821209263 | William Fastenberg Md PC | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2007-05-25 |
| 1407944275 | Bruce A Fastenberg Md Pllc | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649565920 | Morgan E Renner | Ophthalmology | 3816 Woodruff Ave Ste 100, Long Beach, CA 90808-2145 | 2011-06-14 |
| 1891026969 | Eye Treatment Center, An Incorporated Medical Group, Inc | Ophthalmology | 1150 E 4th St, Long Beach Senior Center, Long Beach, CA 90802-1735 | 2010-01-28 |
| 1851620959 | Rmg, Apc | Ophthalmology | 5471 E The Toledo, Long Beach, CA 90803-3953 | 2009-12-18 |
| 1619165446 | Hertzog Eye Associates A Medical Corporation | Ophthalmology | 5094 E Los Coyotes Diagonal, Long Beach, CA 90815-2839 | 2007-10-05 |
| 1053514166 | Houck Eye Care and Refractive Surgery Center, PC | Ophthalmology | 2940 Mount Clair Way, Long Beach, IN 46360-1769 | 2007-06-06 |
| 1710093083 | Carlos Enrique Martinez | Ophthalmology | 3325 Palo Verde Avenue, Suite 103, Long Beach, CA 90808-4132 | 2006-08-21 |
| 1902837941 | Eyecare Specialists Medical Group | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2006-07-06 |
| 1508897893 | H L Sulit Medical Professional Corp | Ophthalmology | 825 Pacific Ave, Long Beach, CA 90813-4225 | 2006-07-05 |
| 1104827591 | Herbert C Henken | Ophthalmology | 511 E Park Ave, Long Beach, NY 11561-3741 | 2005-08-09 |
| 1568468106 | Stephen Andrew Wigginton | Ophthalmology | 709 E Anaheim St, Long Beach, CA 90813-3507 | 2005-06-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
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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.