Active NPI
Abbydek Family Medical Practice PC
- Primary Care Clinic/Center
- Richmond Hill, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 202847
- Legal business name
- ABBYDEK FAMILY MEDICAL PRACTICE PC
- Practice address
- 10520 Jamaica Ave FL 1
Richmond Hill, NY 11418-2013 - Phone
- (718) 849-0702
- Fax
- (718) 591-0265
- NPI assigned
- Oct 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emmanuel Olusegun Fashakin, MD
- Title
- President
- Phone
- (718) 591-1600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 202847 | NY | Primary |
Addresses
Primary practice location
10520 Jamaica Ave FL 1
Richmond Hill, NY 11418-2013
Mailing address
10520 Jamaica Ave Apt 1
Richmond Hill, NY 11418-2013
Phone (718) 591-1600
Other practice location 1
7838 Parsons Blvd Ste 1
Flushing, NY 11366-1973
Phone (718) 591-1600
Other practice location 2
656 Pennsylvania Ave Fl 1
Brooklyn, NY 11207-6907
Phone (718) 342-2446
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01652235 | Medicaid | NY | |
| 202847 | Other | NY | LICENSE |
| 339296 | Other | NY | LICENSE |
Other names 1
- EMMANUEL O FASHAKIN MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7833 Parsons Blvd
NY 11366
7838 Parsons Blvd
Ste 1
Flushing, NY 11366
Phone (718) 591-1600
10520 Jamaica Ave
Apt 1
Richmond Hill, NY 11418
10520 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 591-1600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDIFAA
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Richmond Hill, NY
- NPI 1922154681
-
- Family Nurse Practitioner
- Richmond Hill, NY
- NPI 1952799033
-
- Family Medicine Physician
- Jamaica, NY
- NPI 1033298906
-
- Family Medicine Physician
- Elizabeth, NJ
- NPI 1992733232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1447535323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10520 JAMAICA AVE APT 1",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182013",
"telephone_number": "718-591-1600",
"fax_number": "718-591-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 JAMAICA AVE FL 1",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182013",
"telephone_number": "718-849-0702",
"fax_number": "718-591-0265"
}
],
"practiceLocations": [
{
"address_1": "7838 Parsons Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113661973",
"country_code": "US",
"telephone_number": "718-591-1600",
"fax_number": "718-591-0265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "656 Pennsylvania Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112076907",
"country_code": "US",
"telephone_number": "718-342-2446",
"fax_number": "718-591-0265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ABBYDEK FAMILY MEDICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-11",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "FASHAKIN",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_middle_name": "OLUSEGUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-591-1600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "202847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01652235",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "202847",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "339296",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EMMANUEL O FASHAKIN MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.