Individual provider Active NPI

Hilary Fazzone, MD

  • Ophthalmology Physician
  • Mt. Vernon, NY
National Provider Identifier
1528059045
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
215120 Issued in NY
Practice address
202 Stevens Ave
Mignone Medical Eye Care PC
Mt. Vernon, NY 10550
Phone
(914) 664-6001
Fax
(914) 668-0110
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 215120 NY Primary

Addresses

Primary practice location

202 Stevens Ave
Mignone Medical Eye Care PC
Mt. Vernon, NY 10550

Mailing address

400 Columbus Ave
Credentialing Specialist
New Haven, CT 06519-1233
Phone (203) 503-3174

Other identifiers 1

IdentifierTypeStateIssuer
02427769MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20140508000697 CT Practitioner - Ophthalmology 7719917418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornell Scott Hill Health Corporation CurrentSince Apr 1, 2014 Accepting new patients
Yale University Ophthalmology CurrentSince Aug 1, 2014 Accepting new patients
Yale University CurrentSince Aug 1, 2014 Accepting new patients
Mignone Medical Eye Care, P.C. Ophthalmology Past Accepting new patients
The New York Eye & Ear Infirmary Ophthalmology Associates, P.C. Past Accepting new patients
SLR Ophthalmology Associates, PC Past Accepting new patients
Post Oconnor & Kadrmas Eye Centers P C Ophthalmology PastSince Nov 1, 2015 Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Locations

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

400 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3174

122 Wilmot Rd
New Haven, CT 06515
Phone (203) 503-3741

Interoperability endpoints

  • Direct secure messaging: hfazzone145486@direct.ynhh.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1528059045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVE",
            "address_2": "CREDENTIALING SPECIALIST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191233",
            "telephone_number": "203-503-3174",
            "fax_number": "203-503-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STEVENS AVE",
            "address_2": "MIGNONE MEDICAL EYE CARE PC",
            "city": "MT. VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-664-6001",
            "fax_number": "914-668-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZZONE",
        "first_name": "HILARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "215120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02427769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt. Vernon, NY

Sources for this page

Verify at the official NPI Registry.