DR. JASON LEE FIDEL (DO) – Emergency Medicine Physician, NPI 1356870331

DR. JASON LEE FIDEL (DO) is a healthcare provider. based in New york, New York. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 303940 (NY). The NPI Number for DR. JASON LEE FIDEL (DO) is 1356870331

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON LEE FIDEL (DO)
NPI
1356870331
Phone
(401) 491-7289
Address
205 W 15TH ST APT 5U
Enumeration Date
5 June 2017
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Secondary Phone
6077985111
Graduation Year
2017 (9 years ago)
PAC ID
1355672254
Group Practice PAC ID
7012913916
Professional Enrollment ID
I20200722003837
Address ID
NY139054246BI169XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,703 EMERGENCY MEDICINE in NJ

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Provider Addresses for DR. JASON LEE FIDEL (DO)

  • 205 W 15TH ST APT 5U

    NEW YORK, NY 100116422

    Phone: (401) 491-7289

    Type: Mailing

  • Hackensack University Medical Center, 30, Prospect Avenue, Hackensack, Bergen County, New Jersey, 07601, United States

    HACKENSACK, NJ 076011915

    Phone: (551) 996-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-03-24 • Largest payer in this snapshot: Cumberland Pharmaceuticals, Inc. ($14).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191008000112IEmergency MedicineNJTBD
I20200722003837IEmergency MedicineNYTBD
I20210420001019IEmergency MedicineMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making564553$0
99284Emergency department visit with moderate level of medical decision making172168$0
99291Critical care, first 30-74 minutes5656$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 10011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012913916View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineNJ
Emergency MedicineNY
Emergency MedicineNY
Emergency MedicineCT
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineMI
Emergency MedicineMI
-NJ

Reviews

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Frequently asked questions

What is the registry number for DR. JASON LEE FIDEL (DO)?
The registry entry for DR. JASON LEE FIDEL (DO) shows NPI 1356870331.
Is DR. JASON LEE FIDEL (DO)'s NPI status active today?
Active status means DR. JASON LEE FIDEL (DO)'s NPI record is not deactivated in the public file.
What does the directory say DR. JASON LEE FIDEL (DO) does?
Insurance directories may phrase it differently, but here DR. JASON LEE FIDEL (DO) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JASON LEE FIDEL (DO) in New York, New York?
For routing, start with New York, New York for DR. JASON LEE FIDEL (DO), then verify phone and hours locally.
Can I export DR. JASON LEE FIDEL (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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