Jesse S. Fishman
Physician Assistant · Broomfield, CO
Practice location
340 E 1st Ave Ste 100Broomfield, CO 80020-2444
- Phone
- (303) 428-6089
NPI record
- NPI
- 1801490081
- Entity type
- Individual (Type 1)
- Enumeration date
- November 28, 2020
- Last updated
- May 2, 2024
- Certified
- May 2, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
0008198 | CO |
| Physician Assistant | 363A00000X |
— | — |
| Physician Assistant | 363A00000X |
028608 | NY |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
Other practice locations (3)
- 506 6th St, Brooklyn, NY 11215-3645 · (718) 887-4456
- 232 W 40th St, New York, NY 10018-1503 · (718) 887-4456
- 126 Grymes Hill Rd, Staten Island, NY 10301-3833 · (718) 887-4456
About Jesse Fishman
Jesse S. Fishman is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 340 E 1st Ave Ste 100, Broomfield, CO 80020-2444. The NPI number 1801490081 was assigned on November 28, 2020 and the record was last updated on May 2, 2024.
Jesse Fishman lists 2 licenses in the registry: #0008198 (CO) for Physician Assistant; #028608 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jesse S. Fishman?
The NPI number is 1801490081.
What is the phone number of Jesse Fishman?
The phone number listed for the practice location is (303) 428-6089.
Where is Jesse Fishman located?
340 E 1st Ave Ste 100, Broomfield, CO 80020-2444.
What is the taxonomy code for Jesse Fishman?
The primary taxonomy code is 363A00000X – Physician Assistant; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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