Christopher Michael Fevola, PA-C
Individual provider Active NPI Physician Assistant · Queens, NY
NPI 1487545141 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1487545141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 270-5 76TH Avenue
Queens, NY 11040 - Phone
- (718) 470-7000
- NPI assigned
- Jul 11, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1111 Marcus Ave
New Hyde Park, NY 11042-1034
2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250918000193 | NY | Practitioner - Physician Assistant | 8022512524 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | Yes |
Addresses
Primary practice location
270-5 76TH Avenue
Queens, NY 11040
Mailing address
15 Franciscan LN
Smithtown, NY 11787-1000
Phone (631) 838-4110
Other providers in Queens, NY
- Dynamic Care Occupational Therapy, PC
- Valerie Edwin
- Taylor J Eichenlaub
- Najaah Ellis
- Fair Medical Care PC
- Jean Paul Fils
- Nicole Alexandra Fishelman
- Jason Forde
- Adithan Ganesh
- Manuel Garcia Morell
All providers in Queens, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.