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

Risa Naomi Fuller, MD

Individual provider Infectious Disease Physician · NPI 1497175863

Risa Naomi Fuller, MD is an Infectious Disease in New York, New York. Graduated from State University of New York Downstate Medical Center in 2014, 12 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2014
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

17 E 102nd St
New York, NY 10029
Phone: (212) 241-7968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-6741
  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 241-6741

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 291562-1 (NY)

Record details

NPI number1497175863
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2014
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

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

Medicare specialtyINFECTIOUS DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2014 (12 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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