Marc Fafalak, MD

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

306210 Issued in NY

Practice address

73 Market St Ste 201
Yonkers, NY 10710-7617

Phone

(914) 831-4160

Fax

(914) 831-4160

NPI assigned

May 10, 2017

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Sports MedicineAlso: Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
• Direct secure messaging: marc.fafalak.1@21260.direct.athenahealth.com

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.

• Westchester Medical Group, P.C.

  dba WESTMED Medical Group

  • Critical Care Medicine (Internal Medicine) Physician
  • Rye Brook, NY
  • NPI 1881653822
  Medicare reassignment Care Compare group NPD
• Symphony Medical PC

  • Hospitalist Physician
  • Dobbs Ferry, NY
  • NPI 1659787653
  Medicare reassignment NPD
• Symphony Medical PC

  • Orthopaedic Surgery Physician
  • Dobbs Ferry, NY
  • NPI 1023600327
  NPD
• The Westchester Medical Group PC

  dba Westmed Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Greenwich, CT
  • NPI 1790560878
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Winifred Masterson Burke Rehabilitation Hospital

  • Rehabilitation Hospital
  • White Plains, NY
  • NPI 1841295219

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1629504741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARKET ST STE 201",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107617",
            "telephone_number": "914-831-4160",
            "fax_number": "914-831-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAFALAK",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "306210",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "306210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Center of Westchester M D P C (Jonathan M Kagan, MD)
• Eye Level Optics Yonkers,Inc
• Eyecare Advantage, Inc. (Eyecare Vision Services)
• Anthony Nnamdi Ezeagbor, M.D.
• Misha Faerovitch, MD
• Mathew Q Fakhoury, DO
• Beatriz Falero
• Joan M Fallon, DC
• Family Medicine Associates of Yonkers, P.C.
• Family Medicine of Westchester

• Sports Medicine (Internal Medicine) Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Sports Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.