Marjorie Fricano, NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401240-1 Issued in NY

Practice address

2146 Jackson Ave
Seaford, NY 11783-2606

Phone

(516) 221-3030

Fax

(516) 221-1013

NPI assigned

May 16, 2012

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

State University of New York at Stony Brook, School of Medicine, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Charles Evans Center, Inc.Group PAC ID 1759695992, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Charles Evans Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bethpage, NY
  • NPI 1972982007

  NY

  Medicare reassignment Care Compare group NPD
• Charles Evans Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Cove, NY
  • NPI 1770142366
  Care Compare group
• Charles Evans Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hauppauge, NY
  • NPI 1598299356
  Care Compare group
• Charles Evans Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Seaford, NY
  • NPI 1215596614
  NPD

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1104185701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 JACKSON AVE",
            "address_2": "P.O. BOX 1037",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-221-3030",
            "fax_number": "516-221-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832606",
            "telephone_number": "516-221-3030",
            "fax_number": "516-221-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICANO",
        "first_name": "MARJORIE",
        "name_prefix": "Mrs.",
        "credential": "NPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401240-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00393339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Marie Foglia-Petrara, LMSW
• Laura Fowles
• Rita-Marie Frank
• Aaron Philip Frazier, MSPT
• Aitana Ventura Freire, DMT
• Iris Jill Friedman, LCSWR
• Warren Scott Friedman, LMSW
• Edward Fryman, DPM
• Pia Fucarino
• Maria Fusco

• All providers in Seaford, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.