Active NPIIndividual provider

Dr. Elliot Fagelman, MD

Urology in Pomona, New York

NPI Number1184668808
Practice location
11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559
Fax
845-354-5966
Last updated
July 13, 2026

Elliot Fagelman is an Urology based in Pomona, NY. Elliot Fagelman practices in Pomona, NY and has the professional credentials of MD. The NPI Number for Elliot Fagelman is 1184668808 and holds a License No. 218046 (NY). The current practice location address for Elliot Fagelman is 11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559 and can be reached out via phone at 845-354-5800 and via fax at 845-354-5966.

Provider Profile Details

NPI Number
1184668808
Provider Name
Elliot Fagelman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559
Phone Number
845-354-5800
Fax Number
845-354-5966
Primary Taxonomy
Urology · 208800000X
Sole Proprietor
No
Other Names
Dr. Elliot Fagelman, MD (Professional Name)
Provider Enumeration Date
June 15, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Medical Park Dr
Suite 101
Pomona, NY 10970-3559
City
Pomona
Zip
10970-3559
Phone Number
845-354-5800
Fax Number
845-354-5966
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
11 Medical Park Dr
Suite 101
Pomona, NY 10970-3559
City
Pomona
State
NY
Zip
10970-3559
Phone Number
845-354-5800
Fax Number
845-354-5966

License Information

License Number
218046
License State
NY
Taxonomy
Urology · 208800000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elliot Fagelman, MD?

The NPI number of Dr. Elliot Fagelman, MD is 1184668808. It was assigned on June 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Elliot Fagelman, MD?

Dr. Elliot Fagelman, MD is registered under the primary taxonomy Urology (code 208800000X), licensed in NY under license number 218046.

Where does Dr. Elliot Fagelman, MD practice?

The practice location is 11 Medical Park Dr, Suite 101, Pomona, NY 10970-3559. The office can be reached at 845-354-5800 (phone) or 845-354-5966 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184668808 directly on the NPPES registry website.

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