BRUCE A FASTENBERG MD PLLC
NPI 1407944275
Ophthalmology in Long Beach, NY

Active since October 10, 2006
260 WEST BROADWAY, SUITE 6F, LONG BEACH, NY 11561(917) 838-5680 Get Directions Write a Review

NPPES record last updated: December 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce A Fastenberg Md Pllc NPPES

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

BRUCE A FASTENBERG MD PLLC (NPI 1407944275) is a healthcare organization registered as an ophthalmology in Long Beach, New York and active in the NPI registry since October 2006. The organization lists Bruce A Fastenberg, Physician, as its authorized official.

NPPES Registry Identity

NPI1407944275
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBRUCE A FASTENBERG MD PLLC
Location Address260 WEST BROADWAY, SUITE 6FLong Beach, NY 11561
Mailing Address260 West Broadway, Suite 6fLong Beach, NY 11561 · (917) 838-5680
Organization SubpartNo
Authorized OfficialBruce A FastenbergPhysician · (917) 838-5680
Enumeration DateOctober 10, 2006
Last NPPES UpdateDecember 26, 2014
NPI 1407944275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 210692
Definition
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.
260 WEST BROADWAY, Long Beach, NY 11561

Other Identifiers 3

Medicare UPINH48827
Medicare ID-Type Unspecified385B91
Medicaid02191073NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Ophthalmology
260 WEST BROADWAY, SUITE 6F
LONG BEACH, NY 11561
Ophthalmology
260 WEST BROADWAY, SUITE 6F
LONG BEACH, NY 11561

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 Bruce A Fastenberg MD PLLC's NPI number?

The NPI number for Bruce A Fastenberg MD PLLC is 1407944275. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Bruce A Fastenberg MD PLLC located?

Bruce A Fastenberg MD PLLC is located at 260 West Broadway Suite 6F, Long Beach, NY 11561. The listed phone number is (917) 838-5680.

What is Bruce A Fastenberg MD PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Bruce A Fastenberg MD PLLC was last updated on December 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.