IndividualActive
Jason Fisher, M.D.
NPI 1306860663 · Pediatric Surgery Physician · New York, NY
Provider details
- NPI number
- 1306860663
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08088300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
530 1st Ave
Division of Pediatric Surgery, Suite 10w
New York, NY 10016-6402
Phone: (212) 263-7391
Fax: (212) 263-6590
Approximate (ZIP-level) locationGet directions
Mailing address
530 1st Ave
New York, NY 10016-6402
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2023-03-07
- Certified
- 2021-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.