Candido Fuentes-Felix Physican PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

148869-1 Issued in NY

Legal business name

CANDIDO FUENTES-FELIX PHYSICAN PC

Practice address

120 New York Ave
Suite 1W
Huntington, NY 11743-2773

Phone

(631) 385-9377

NPI assigned

May 2, 2011

Last updated

Nov 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Candido Fuentes-Felix, MD

Title

President

Phone

(631) 385-9377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1023309523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NEW YORK AVE",
            "address_2": "SUITE 1W",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432773",
            "telephone_number": "631-385-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NEW YORK AVE",
            "address_2": "SUITE 1W",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432773",
            "telephone_number": "631-385-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDIDO FUENTES-FELIX PHYSICAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "FUENTES-FELIX",
        "authorized_official_first_name": "CANDIDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-385-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "148869-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia T. Callan, M.D.
• Darrel Callender
• Christine Rose Campanello, NP
• Ingrid X Campos
• Candido Fuentes-Felix MD Facs
• Jessica Leigh Caporuscio, M.D.
• Victoria Rose Caracci
• Stephanie Caradonna, MSE, PD
• Salvatore J Caravella, M.D.
• Andrea Carbajal

• Specialist in Huntington, NY
• Providers in Huntington, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.