Robert Fondacaro, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

169107-1 Issued in NY

Practice address

48 Route 25a
Suite 101
Smithtown, NY 11787-1431

Phone

(631) 962-3413

Fax

(631) 862-3604

NPI assigned

Sep 25, 2006

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

New York Medical College, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suffolk Anesthesiology Associates PCGroup PAC ID 6204725740, 78 clinicians

Office Based Anesthesia LLCGroup PAC ID 2163400375, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
• St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Office Based Anesthesia LLC

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1407947617
  Medicare reassignment Care Compare group NPD
• Suffolk Anesthesiology Associates, PC

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1194826420
  Medicare reassignment Care Compare group NPD
• Alliance Anesthesiology Associates, P.L.L.C.

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1720226483
  NPD (past)
• United Anesthesia PC

  • Anesthesiology Physician
  • Smithtown, NY
  • NPI 1407076391
  NPD (past)

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

• St Charles Hospital Corp

  • General Acute Care Hospital
  • Port Jefferson, NY
  • NPI 1164481529
  Care Compare affiliation
• St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
  • NPI 1982663423
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306946512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 101",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-962-3413",
            "fax_number": "631-862-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROUTE 25A",
            "address_2": "SUITE 101",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871431",
            "telephone_number": "631-962-3413",
            "fax_number": "631-862-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDACARO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "169107-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01191428",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Flynn, LMSW
• Ginamarie Foceri
• Lisa Ann Fogarty, DPT
• Melanie Foglia
• Kathleen Ann Foley Root, RN ANP
• Geency Fonseca, RN
• James Joseph Fonti
• Vanessa Forbes, AUD
• Ilana Lindsay Forchheimer, M.D.
• Carol Anne Forgash, LCSW

• Anesthesiology Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.