Individual provider Active NPI

Tina Fakhoury, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Hyde Park, NY
National Provider Identifier
1659080216
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351337 Issued in NY
Practice address
4068 Albany Post Rd
Hyde Park, NY 12538-3900
Phone
(845) 229-2123
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 351337 NY Primary

Addresses

Primary practice location

4068 Albany Post Rd
Hyde Park, NY 12538-3900

Mailing address

4068 Albany Post Rd
Hyde Park, NY 12538-3900
Phone (845) 229-2123

Other names 1

  • Tina Aqeel Other name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329000297 NY Practitioner - Nurse Practitioner 5890169189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

4068 Albany Post Rd
Hyde Park, NY 12538-3900
Phone (845) 229-2123

Hospital & facility affiliations

  • Health Quest Home Care, Inc (Certified) Chha Home health agency, Poughkeepsie, NY, CCN 337230
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
351337NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC CurrentSince Mar 27, 2023 Accepting new patients
Health Quest Medical Practice, PC CurrentSince Mar 27, 2023 Accepting new patients

Locations

200 Westage Business Ctr Dr
Ste 240
Fishkill, NY 12524
Phone (845) 896-8784

4068 Albany Post Rd
Hyde Park, NY 12538
Phone (845) 229-2123

1100 Route 55
Ste 101
Lagrangeville, NY 12540
Phone (845) 471-2423

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1659080216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125383900",
            "telephone_number": "845-229-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 ALBANY POST RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125383900",
            "telephone_number": "845-229-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURY",
        "first_name": "TINA",
        "credential": "FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "AQEEL",
            "credential": "MAIDEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.