Organization Active NPI

Abbydek Family Medical Practice PC

  • Primary Care Clinic/Center
  • Richmond Hill, NY
National Provider Identifier
1447535323
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
202847 Issued in NY
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

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Dr. Emmanuel Olusegun Fashakin, MDNPI 1922154681
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01652235MedicaidNY
202847OtherNYLICENSE
339296OtherNYLICENSE

Other names 1

  • EMMANUEL O FASHAKIN MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111129000678 NY Part B Supplier - Clinic/Group Practice 7416121561 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Elmont, NY; Flushing, NY; Richmond Hill, NY

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.