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DR. NATHAN S. FOX M.D.
NPI 1225050941
Obstetrics & Gynecology - Maternal & Fetal Medicine in New York, NY

Active since July 24, 2006PECOS Enrolled
525 E 68TH ST, BOX 122, NEW YORK, NY 10021(212) 746-3186(212) 746-0449 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nathan S. Fox M.d. NPPES

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

DR. NATHAN S. FOX M.D. (NPI 1225050941) is an individual maternal & fetal medicine provider in New York, New York, licensed in Florida (ME177548) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1225050941
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. NATHAN S. FOXCredential: M.D.
Location Address525 E 68TH ST, BOX 122New York, NY 10021-4870
Mailing Address82 Glenwood RdEnglewood, NJ 07631-1911 · (201) 227-1310
Phone(212) 746-3186
Fax(212) 746-0449
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 1, 2026
NPPES CertifiedSeptember 1, 2026
✔ NPI 1225050941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in FL · ME177548
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License ME177548 (FL)
525 E 68TH ST, New York, NY 10021
Open in Google Maps ↗

Other Identifiers 1

Medicaid02711888NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan S. Fox M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658391735
PECOS Enrollment IDI20260310004707
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

3

Medicare enrollment records show Nathan Fox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Englewood, PC
9.7 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136
Florida Woman Care, LLC
1,007 mi
Obstetrics & Gynecology
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 802 clinicians in this Medicare group
NPI 1386823243 (561) 300-2410
Fwc Perinatal, LLC
1,007 mi
Maternal & Fetal Medicine
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1831485093 (561) 300-2410

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELEANOR BRADLEY CRNA
Registered Nurse
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-2846
LOUISE REBECCA MERRIMAN R.D.
Nutritionist
525 E 68TH ST, GREENBERG PAVILION RM 10-171
NEW YORK, NY 10021
New York County (212) 746-0838
DATTATRETYDU NORI M.D.
Radiology (Radiation Oncology)
525 E 68TH ST, N046
NEW YORK, NY 10021
New York County (212) 746-3141
MS. JANE HARRINGTON NP
Nurse Practitioner (Neonatal)
525 E 68TH ST, NYPH
NEW YORK, NY 10021
New York County (212) 746-0318
JESSICA RIVERA BROWN OTR
Occupational Therapist
525 E 68TH ST, NEW YORK PRESBYTERIAN HOSPITAL AT CORNELL
NEW YORK, NY 10021
New York County (212) 746-1623
DR. NATALIA RYJIKOV
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-2846
DR. MATTHEW C. GOMILLION
Anesthesiology
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 745-2846
STEVEN KAPLAN MD
Emergency Medicine
525 E 68TH ST
NEW YORK, NY 10021
New York County (212) 746-0780

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 Nathan Fox's NPI number?

The NPI number for Nathan Fox is 1225050941. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Nathan Fox located?

Nathan Fox practices at 525 E 68th St Box 122, New York, NY 10021. The listed phone number is (212) 746-3186.

What is Nathan Fox's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Nathan Fox enrolled in Medicare?

Yes. Nathan Fox is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathan Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Fox reassigns Medicare benefits to 3 organizations: Medical Associates Of Englewood, PC (Englewood, NJ), Florida Woman Care, LLC (Tampa, FL) and Fwc Perinatal, LLC (Tampa, FL). 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 Nathan Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Fox accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Nathan Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Fox was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.