Individual provider Active NPI

Rosalba Fasano, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1437177383
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008729 Issued in NY
Practice address
3518 Avenue S
Brooklyn, NY 11234-4828
Phone
(718) 332-2796
Fax
(718) 332-0649
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X008729 NY Primary

Addresses

Primary practice location

3518 Avenue S
Brooklyn, NY 11234-4828

Mailing address

3518 Avenue S
Brooklyn, NY 11234-4828
Phone (718) 332-2796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000464 NY Practitioner - Chiropractic 5991878480 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3518 Ave S
Brooklyn, NY 11234-4828
Phone (718) 332-2796

3615 Ave S
Brooklyn, NY 11234-4829
Phone (718) 332-2796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008729NYMDChiropractor
008729NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Medical Care PC Past Accepting new patients
Island Musculoskeletal Care MD PC Past Accepting new patients
University Physicians Group P C Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1437177383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344828",
            "telephone_number": "718-332-2796",
            "fax_number": "718-332-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 AVENUE S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344828",
            "telephone_number": "718-332-2796",
            "fax_number": "718-332-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANO",
        "first_name": "ROSALBA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.