DR. JASON ALEXANDER FISHER MD
NPI 1104320688
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 20, 2018PECOS Enrolled
1 GUSTAVE L LEVY PL # 1259, NEW YORK, NY 10029(212) 241-6591 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Alexander Fisher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON ALEXANDER FISHER MD (NPI 1104320688) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104320688
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JASON ALEXANDER FISHERCredential: MD
Location Address1 GUSTAVE L LEVY PL # 1259New York, NY 10029-6504
Mailing Address1 Gustave L Levy Pl # 1259New York, NY 10029-6504
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
NPI 1104320688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 GUSTAVE L LEVY PL # 1259, New York, NY 10029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jason Alexander Fisher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749710044
PECOS Enrollment IDI20250214002232
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
Anesthesiology (Pain Medicine)
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Fisher's NPI number?

The NPI number for Jason Fisher is 1104320688. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Jason Fisher located?

Jason Fisher practices at 1 Gustave L Levy Pl # 1259, New York, NY 10029. The listed phone number is (212) 241-6591.

What is Jason Fisher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jason Fisher enrolled in Medicare?

Yes. Jason Fisher is registered in the Medicare PECOS enrollment system.

Is Jason Fisher affiliated with any hospitals?

According to CMS data, Jason Fisher is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Fisher was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.