Individual provider Active NPI

Paula S Fabrizio, DO

  • Psychiatry Physician
  • Hicksville, NY
National Provider Identifier
1457364648
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
207911-1 Issued in NY
Practice address
950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone
(516) 396-2792
Fax
(516) 396-0553
NPI assigned
Aug 15, 2006
Last updated
Sep 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 207911-1 NY Primary

Addresses

Primary practice location

950 S Oyster Bay Rd
Hicksville, NY 11801-3510

Mailing address

950 S Oyster Bay Rd
Hicksville, NY 11801-3510
Phone (516) 822-6111

Other identifiers 1

IdentifierTypeStateIssuer
02231249MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040317001332 NY Practitioner - Psychiatry 9032009659 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207911-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nassau Guidance & Counseling Services, Inc. Psychiatry CurrentSince Aug 29, 2011 Accepting new patients
Southeast Nassau Guidance Center Inc. Past Accepting new patients
Bridge Back to Life Center, Inc. PastSince Jul 28, 2024 Accepting new patients
Family and Children's Association - Linkage Past Accepting new patients

Locations

950 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 822-4060

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1457364648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "516-822-6111",
            "fax_number": "516-396-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013510",
            "telephone_number": "516-396-2792",
            "fax_number": "516-396-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIZIO",
        "first_name": "PAULA",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "207911-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02231249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.