Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Robert E Fogel, MD

Individual provider Internal Medicine Physician · NPI 1275647166

Dr. Robert E Fogel, MD is an Internal Medicine in Massapequa, New York. Qualified in 1980, 46 years ago. Practices with Northwell Healthcare Inc, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

896 Broadway
Massapequa, NY 11758
Phone: (516) 795-4500
Fax: (516) 541-2456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 148180 (NY)

Record details

NPI number1275647166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 18, 2006
Last updated in NPPESJune 9, 2015
Mailing address896 Broadway, Massapequa, NY 11758

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Northwell Healthcare Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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