Nicholas Fazio, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

33 Research Way Ste 13
East Setauket, NY 11733-3489

Phone

(631) 444-4090

NPI assigned

Mar 31, 2025

Sex

Male

Sole proprietor

No

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

Doctor of Medicine

Practice roles

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.

• Stony Brook Ophthalmology, University Faculty Practice Corporation

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1700831195
  NPD (past)

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1649073123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RESEARCH WAY STE 13",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333489",
            "telephone_number": "631-444-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RESEARCH WAY STE 13",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333489",
            "telephone_number": "631-444-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseann M Falcone, L.M.H.C., C.A.S.A.C.
• Kathryn Brigitte Fassnacht, CPNP
• Linda Marie Fasullo, M.S. CCC/SLP
• Kenneth Michael Faulkner, MS, RN, ANP-BC
• Tara Elizabeth Fay, M.A., CCC-SLP
• Stefanie Claire Fedun, M.S. CCC-SLP, TSSLD
• Edward Feldman, LCSW
• Elissa Feldman, R.D.,C.D.N.,C.D.E
• Deborah Feliciano, NP
• Megan Fendt, CNM RD CDCES

• Student in an Organized Health Care Education/Training Program in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.