Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin P Fedor, DO

Individual provider Family Medicine Physician · NPI 1982831483

Justin P Fedor, DO is a Family Practice in Cicero, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2009, 17 years ago. Practices with Port City Emergency Physicians LLP, a 48-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5586 Legionnaire Dr Ste 1
Cicero, NY 13039-3504
Phone: (315) 699-2837
Fax: (315) 699-2734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 265947 (NY)

Record details

NPI number1982831483
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 11, 2009
Last updated in NPPESSeptember 19, 2012
Mailing address5586 Legionnaire Dr Ste 1, Cicero, NY 13039-3504

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2009 (17 years in practice)
Group practice Port City Emergency Physicians Llp — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cicero