Daniel Faustin Medical Practice, PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

135376 Issued in NY

Legal business name

DANIEL FAUSTIN MEDICAL PRACTICE, PLLC

Practice address

461 Park Ave S
New York, NY 10016-6822

Phone

(212) 473-6500

NPI assigned

Nov 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Faustin, MD

Title

President

Phone

(516) 639-5535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1225434418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DORAL DR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303907",
            "telephone_number": "516-639-5535",
            "fax_number": "516-365-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166822",
            "telephone_number": "212-473-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL FAUSTIN MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-639-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "135376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Clinic/Center in New York

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

Verify at the official NPI Registry.