Individual provider Active NPI

Philip Carmine Fracassa, M.D.

  • Ophthalmology Physician
  • Franklin Square, NY
National Provider Identifier
1023072949
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
122364-1 Issued in NY
Practice address
393 Franklin Ave
Suite 104
Franklin Square, NY 11010-1227
Phone
(516) 352-1380
Fax
(516) 352-1381
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 122364-1 NY Primary

Addresses

Primary practice location

393 Franklin Ave
Suite 104
Franklin Square, NY 11010-1227

Mailing address

393 Franklin Ave
Suite 104
Franklin Square, NY 11010-1227
Phone (516) 352-1380

Other identifiers 7

IdentifierTypeStateIssuer
660440OtherNYHEALTHCARE PARTNERS
AS639OtherNYOXFORD HEALTH PLANS
0094688OtherNYGHI
320111OtherNYBLUE CROSS/BUE SHIELD
25403POtherNYHIP
884939OtherNYAETNA
112526966OtherNYUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110106001001 NY Practitioner - Ophthalmology 5991994949 Practice locations: Franklin Square, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

393 Franklin Ave
Franklin Square, NY 11010-1222
Phone (516) 352-1380

Merit-based Incentive Payment System (MIPS)

Final score
98.17 of 100Reported as individual
Quality
96.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
122364-1NYMDOphthalmology Physician

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1023072949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 FRANKLIN AVE",
            "address_2": "SUITE 104",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101227",
            "telephone_number": "516-352-1380",
            "fax_number": "516-352-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 FRANKLIN AVE",
            "address_2": "SUITE 104",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110101227",
            "telephone_number": "516-352-1380",
            "fax_number": "516-352-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACASSA",
        "first_name": "PHILIP",
        "middle_name": "CARMINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "122364-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE PARTNERS",
            "identifier": "660440",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "AS639",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0094688",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BUE SHIELD",
            "identifier": "320111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "25403P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "884939",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "112526966",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.