Active NPI
Mario Fracassa MDPC
- Ophthalmology Physician
- Plainview, NY
National Provider Identifier
1649469222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 102963
- Legal business name
- MARIO FRACASSA MDPC
- Practice address
- 732 Old Country Rd
Plainview, NY 11803-4929 - Phone
- (516) 822-3911
- Fax
- (516) 822-3983
- NPI assigned
- Oct 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Nielsen
- Title
- Practice Administrator
- Phone
- (516) 822-3911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 102963 | NY | Primary |
Addresses
Primary practice location
732 Old Country Rd
Plainview, NY 11803-4929
Mailing address
732 Old Country Rd
Plainview, NY 11803-4929
Phone (516) 822-3911
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Plainview, NY
- NPI 1780681478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1649469222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034929",
"telephone_number": "516-822-3911",
"fax_number": "516-822-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034929",
"telephone_number": "516-822-3911",
"fax_number": "516-822-3983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIO FRACASSA MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "516-822-3911"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "102963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.