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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: October 25, 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
Phone(212) 241-6591
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jason Fisher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
1.5 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Montefiore Mount Vernon Hospital
9.8 mi
General Acute Care Hospital
12 N 7TH AVE
Mount Vernon, NY 10550
  • Reassigned Medicare billing, New York enrollment
  • 140 clinicians in this Medicare group
NPI 1013345065 (914) 664-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MEGHAN HU MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (212) 241-6500
CARSON SCHELL MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (212) 241-5871
JESSICA CRUZ
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (212) 241-5871
DR. ANDREW PALOSAARI MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (310) 318-4551
DR. SPENCER JAMES PERRY MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (518) 961-3267
CHLOE GENEVIEVE CROSS
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (212) 241-5972
DR. MARC BECKERMAN MD
Anesthesiology (Pain Medicine)
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (212) 241-6591
ALISON TRAN MD
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY 10029
New York County (212) 241-5972

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.

Which organizations bill Medicare for Jason Fisher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Fisher reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (New York, NY) and Montefiore Mount Vernon Hospital (Mount Vernon, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.