Roseann Darlissa Fana-Perez, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

60261067 Issued in NY

Practice address

8268 164TH St
Jamaica, NY 11432-1121

Phone

(347) 475-0117

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Roseann Darlissa Fana Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390608000000",
    "number": "1386934339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 THORNTON PL APT 4P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754173",
            "telephone_number": "347-475-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "347-475-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANA-PEREZ",
        "first_name": "ROSEANN",
        "middle_name": "DARLISSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2014-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "60261067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEANN",
            "last_name": "FANA",
            "middle_name": "DARLISSA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• June Falagario-Wasserman, LMHC
• Daphne Amani Faldi, M.S. SPECIAL ED
• Family First Health NP in Family Health PLLC
• Olusegun Famodimu
• Wei Livy Fan, M.D.
• Gene Steven Fang, D.D.S.
• Michael Fano, FNP
• Sahera Fareha, PA-C
• Funmilayo Temitope Farinde, NP
• Syed Farkruzzaman

• Child & Adolescent Psychiatry Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.