Active NPI
Frank Fasano, PA
- Surgical Physician Assistant
- Carmel, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- P55922
- Practice address
- 664 Stoneleigh Ave Ste 300
Somers Orthopaedic Surgery & Sports Med Group PLLC
Carmel, NY 10512-3990 - Phone
- (845) 278-8400
- Fax
- (845) 278-4326
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1910 | CT | |
| Surgical Physician Assistant | 363AS0400X | P55922 | NY | Primary |
Addresses
Primary practice location
664 Stoneleigh Ave Ste 300
Somers Orthopaedic Surgery & Sports Med Group PLLC
Carmel, NY 10512-3990
Mailing address
664 Stoneleigh Ave Ste 300
Somers Orthopaedic Surgery & Sports Med Group PLLC
Carmel, NY 10512-3990
Phone (845) 278-8400
Other practice location 1
40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5119
Phone (845) 278-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97F24CJ511 | Other | NY | MEDICARE PIN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371
Hospital & facility affiliations
- Northern Westchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011848 | NY | MD | Mental Health Counselor |
| P55922 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Somers Orthopaedic Surgery & Sports Medicine Group PLLC | Current | Accepting new patients |
Locations
40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872
664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- ffasano69551@northwell.direct-ci.com
Organizations & group practices 4
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Carmel, NY
- NPI 1720028384
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Specialist
- Fishkill, NY
- NPI 1437455847
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1114054376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 STONELEIGH AVE STE 300",
"address_2": "SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123990",
"telephone_number": "845-278-8400",
"fax_number": "845-278-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 STONELEIGH AVE STE 300",
"address_2": "SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123990",
"telephone_number": "845-278-8400",
"fax_number": "845-278-4326"
}
],
"practiceLocations": [
{
"address_1": "40 Old Ridgebury Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068105119",
"country_code": "US",
"telephone_number": "845-278-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FASANO",
"first_name": "FRANK",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "1910",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "P55922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "97F24CJ511",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.