Kathleen M. Fahey, R.N.

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

4342851 Issued in NY

Practice address

111 E 210TH St
Map 4 Dept of Surgery
Bronx, NY 10467-2401

Phone

(718) 920-5961

Fax

(718) 798-1883

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487667242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CATALPA PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653808",
            "telephone_number": "718-823-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "MAP 4 DEPT OF SURGERY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-5961",
            "fax_number": "718-798-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "4342851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joana Abena Fagbola, LCSW
• Adina Fagin, MD
• Dennis Fagundo-Ojeda, PHD
• Anam Fahad, MD
• Youmna Faheem
• Somayeh Fahim Nia
• Muhammad Fahimuddin, MD
• Mary Christine Fahmy, MD
• Brian Fahnrich, MD
• Sophia Faiella

• Medical-Surgical Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.