NPIMap

Individual provider Active NPI

Daniel Eric Fass, M.D.

  • Radiation Oncology Physician
  • Rye, NY
National Provider Identifier
1215049184
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
1611931 Issued in NY
Practice address
1 Theall Rd
Ste 107
Rye, NY 10580
Phone
(914) 848-8950
Fax
(914) 848-8951
NPI assigned
Aug 31, 2006
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 1611931 NY Primary

Addresses

Primary practice location

1 Theall Rd
Ste 107
Rye, NY 10580

Mailing address

2700 Westchester Ave
2ND Floor
Purchase, NY 10577-2547
Phone (914) 682-6538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220920000158 RI Practitioner - Radiation Oncology 0345332474 Reassigns benefits to 3 organizations
I20260609001901 NC Practitioner - Radiation Oncology 0345332474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Howard University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Regional Cancer Center, LLCGroup PAC ID 8820049752, 6 clinicians
Watauga Medical Center IncGroup PAC ID 2668377474, 95 clinicians
Roger Williams Radiation Therapy LLCGroup PAC ID 3476658188, 6 clinicians

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 356-1701

336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 262-4133

450 Toll Gate Rd
Warwick, RI 02886-2715
Phone (401) 732-2300

50 Maude St
Providence, RI 02908-4325
Phone (401) 456-2690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1611931NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Williams Radiation Therapy, LLC Radiation Oncology CurrentSince Dec 1, 2024 Accepting new patients
Southern New England Regional Cancer Center, LLC Radiation Oncology CurrentSince Dec 22, 2024 Accepting new patients
Silver Spring Health Care Management, Inc Radiation Oncology CurrentSince Aug 29, 2022 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients
Westchester Medical Group, P.C. Past Accepting new patients

Locations

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

142 Kenyon Ave
Wakefield, RI 02879
Phone (401) 284-0850

450 Toll Gate Rd
Warwick, RI 02886
Phone (401) 732-2300

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

115 Cass Ave
#1
Woonsocket, RI 02895
Phone (401) 228-0606

Interoperability endpoints

  • Direct secure messaging: dfass3915141@direct.trinity-health.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1215049184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE",
            "address_2": "2ND FLOOR",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772547",
            "telephone_number": "914-682-6538",
            "fax_number": "914-457-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 THEALL RD",
            "address_2": "STE 107",
            "city": "RYE",
            "state": "NY",
            "postal_code": "10580",
            "telephone_number": "914-848-8950",
            "fax_number": "914-848-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASS",
        "first_name": "DANIEL",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "1611931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.