Physician Compare National (NPI:1851454953)

HEALTHCARE PROVIDER: CHAIM ISRAEL FISHFELD D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851454953
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2062504426
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070815000751
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FISHFELD
	Individual professional last name
Provider First Name	CHAIM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	2002
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	271 DOUGHTY BLVD
	Group Practice or individual's line 1 address
City	INWOOD
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	110962135
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330198
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTH NASSAU COMMUNITIES HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330259
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y