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DR. KENNETH IRWIN FISHBERGER MD
NPI 1649291451
Internal Medicine in Port Jefferson, NY

Active since July 21, 2006
200 BELLE TERRE ROAD, SUITE #110, PORT JEFFERSON, NY 11777(631) 642-9801(631) 642-9805 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Irwin Fishberger Md NPPES

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

DR. KENNETH IRWIN FISHBERGER MD (NPI 1649291451) is an individual internal medicine provider in Port Jefferson, New York, licensed in New York (129974) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1649291451
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KENNETH IRWIN FISHBERGERCredential: MD
Location Address200 BELLE TERRE ROAD, SUITE #110Port Jefferson, NY 11777
Mailing Address200 Belle Terre Road, Suite #110Port Jefferson, NY 11777 · (631) 642-9801 · Fax (631) 642-9805
Phone(631) 642-9801
Fax(631) 642-9805
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649291451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 129974
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 BELLE TERRE ROAD, Port Jefferson, NY 11777
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Other Identifiers 3

Medicare UPINB13424
Medicare ID-Type Unspecified341511
Medicaid00296713NY

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services141 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
25 services24 patients

Other Providers at the Same Location NPPES 8

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

DR. MARK J. KROPF M.D.
Internal Medicine
200 BELLE TERRE ROAD, SUITE 100
PORT JEFFERSON, NY 11777
Suffolk County (631) 331-6090
MOHAMMAD MOSTAFA AMIN PHYSICIAN, PLLC
Internal Medicine (Pulmonary Disease)
200 BELLE TERRE ROAD, SLEEP LAB
PORT JEFFERSON, NY 11777
Suffolk County (631) 974-6439
DR. JOSEPH PETER BOGLIA MD
Internal Medicine (Nephrology)
200 BELLE TERRE ROAD, STE 110
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-1010
DR. KERI A LOGAN DMD
Dentist (General Practice)
200 BELLE TERRE ROAD, ST. CHARLES HOSPITAL
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6553
MS. DARCY K UPTON PT RN
Registered Nurse
200 BELLE TERRE ROAD, ST CHARLES HOSPITAL
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6812
MRS. SHERLY T CHAMAKALA N.P
Nurse Practitioner (Adult Health)
200 BELLE TERRE ROAD, ST CHARLES HOSPITAL
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
DR. JULIETTE AVIGDOR TROPE M.D.
Pediatrics
200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6205
KATHLEEN GALWAY MA CCC-SLP
Speech-Language Pathologist
200 BELLE TERRE ROAD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6263

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 Kenneth Fishberger's NPI number?

The NPI number for Kenneth Fishberger is 1649291451. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kenneth Fishberger located?

Kenneth Fishberger practices at 200 Belle Terre Road Suite #110, Port Jefferson, NY 11777. The listed phone number is (631) 642-9801.

What is Kenneth Fishberger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Fishberger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.