Active NPI
Fatema Dharsee, P.A
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1033487905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 015343
- Practice address
- 3044 Coney Island Ave
Brooklyn, NY 11235-5660 - Phone
- (718) 934-1400
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 015343 | NY | Primary |
Addresses
Primary practice location
3044 Coney Island Ave
Brooklyn, NY 11235-5660
Mailing address
3044 Coney Island Ave
2ND Floor
Brooklyn, NY 11235-5660
Phone (718) 934-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015343 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394755200000",
"number": "1033487905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 CONEY ISLAND AVE",
"address_2": "2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355660",
"telephone_number": "718-934-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355660",
"telephone_number": "718-934-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHARSEE",
"first_name": "FATEMA",
"credential": "P.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-07",
"last_updated": "2014-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "015343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.