Mary Fatehi, MD

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

194627 Issued in NY

Practice address

97 Amity St FL 3
OBGYN Associates at Lich
Brooklyn, NY 11201-6004

Phone

(718) 780-1231

Fax

(718) 780-4987

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of North Carolina at Chapel Hill School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

Merit-based Incentive Payment System (MIPS)

Final score

86.46 of 100Reported as group

Quality

57.32

Promoting interoperability

84

Improvement activities

40

Cost

80.25

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment Care Compare group NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1932125911
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1801857172
  NPD (past)
• OB GYN Associates at Long Island College Hospital

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1700914330

  Gynecologic Oncology

  NPD (past)
• OBGYN Associates at Lich

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1497720684
  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)
• Suny Health Science Center at Brooklyn

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1689972150

  Gynecologic Oncology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1003863945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31218",
            "address_2": "OBGYN ASSOCIATES AT LICH",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06150",
            "telephone_number": "914-328-4500",
            "fax_number": "845-565-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 AMITY ST FL 3",
            "address_2": "OBGYN ASSOCIATES AT LICH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016004",
            "telephone_number": "718-780-1231",
            "fax_number": "718-780-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATEHI",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "194627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01532058",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alina Fatakhova, PT, DPT
• Inessa Fatakhova
• Mazol Fatakhova
• Timothy Fatato, LAC
• Natalia G Fateeva
• Unknown Fatema Talib Kapadia, MD
• Kanis Fatema, SC
• Marzan Fatema
• Ayman Fathalla, MD
• Aysar Benyamen Fathallah-Mammo, MD

• Gynecologic Oncology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gynecologic Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.