Individual provider Active NPI

Christina Marie Fassino

  • Educational Certified Respiratory Therapist
  • Bellport, NY
National Provider Identifier
1124751995
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Educational Certified Respiratory TherapistTaxonomy code 2278E1000X
Practice address
5 Sunbonnet LN
Bellport, NY 11713-1146
Phone
(631) 627-3938
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Educational Certified Respiratory Therapist 2278E1000X NY Primary

Addresses

Primary practice location

5 Sunbonnet LN
Bellport, NY 11713-1146

Mailing address

5 Sunbonnet LN
Bellport, NY 11713-1146
Phone (631) 627-3938

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

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1124751995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SUNBONNET LN",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131146",
            "telephone_number": "631-627-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUNBONNET LN",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131146",
            "telephone_number": "631-627-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASSINO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.