Stephanie Fanelli

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

062500 Issued in NY

Practice address

1557 Route 82 Ste 2
Hopewell Junction, NY 12533-3328

Phone

(845) 226-8577

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1568097806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 RADIO DR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 ROUTE 82 STE 2",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125333328",
            "telephone_number": "845-226-8577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-405-8057",
            "fax_number": "718-405-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANELLI",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "062500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express Pediatrics: Walk in Urgent Care for Children, PLLC
• Nnaedozie Ezeilo, PHARMD
• Fakhouri Medical Health Office P.C.
• Nancy Fakhouri
• Zeiad Abraham Fakhouri, MD
• Craig Fanti, DMD
• Lydia Farmer
• Elisa Feld, OTR
• Fella Family Chiropractic and Wellness, PLLC
• Krystali Ferrara

• Pediatric Dentistry in Hopewell Junction, NY
• Providers in Hopewell Junction, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.