Individual provider Active NPI

Marina Fay, PA-C

  • Medical Physician Assistant
  • Bronx, NY
National Provider Identifier
1679897011
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1091482 Issued in NY
Practice address
1825 Eastchester Rd
Bronx, NY 10461-2301
Phone
(718) 968-5637
NPI assigned
Mar 14, 2010
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9114048 FL
Medical Physician Assistant 363AM0700X 1091482 NY Primary

Addresses

Primary practice location

1825 Eastchester Rd
Bronx, NY 10461-2301

Mailing address

600 Three Islands Blvd Apt 812
Hallandale Beach, FL 33009-7809
Phone (718) 968-5637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100618000606 NY Practitioner - Physician Assistant 9234269150 Reassigns benefits to 4 organizations
I20210706000897 FL Practitioner - Physician Assistant 9234269150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complete Neurological Care PCGroup PAC ID 9537320593, 14 clinicians
Comprehensive Neurological Care PAGroup PAC ID 0446651210, 6 clinicians
Ageless Body by New Science LLCGroup PAC ID 5991047789, 4 clinicians

Practice addresses (Care Compare)

112 47 Queens Boulevard
Suite 206
Forest Hills, NY 11375-7421
Phone (718) 544-4200

150 E 55TH St
FL 4
New York, NY 10022-4514
Phone (212) 349-2787

18975 Collins Ave
Unit 1602
Sunny Isl BCH, FL 33160-2357
Phone (800) 200-8196

225 Broadway
Suite 705
New York, NY 10007-3791
Phone (212) 349-2787

2500 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4837
Phone (954) 990-0302

2820 NE 214TH St
Suite 828 Aventura
Aventura, FL 33180-1270
Phone (718) 968-5637

7301 W Palmetto Park Rd
Suite 103C
Boca Raton, FL 33433-3455
Phone (800) 200-8196

7730 W Boynton Beach Blvd
Suite 4
Boynton Beach, FL 33437-6155
Phone (800) 200-8196

8130 Royal Palm Blvd
Suite 201
Coral Springs, FL 33065-5703
Phone (800) 200-8196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9114048FLMDMedical Physician Assistant
1091482NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 15, 2010 Accepting new patients
Montefiore Medical Center CurrentSince Apr 15, 2010 Accepting new patients
Madison Medical Practice P.C. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

Networks

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

Interoperability endpoints

  • Direct secure messaging: marina.fay.1@27498.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1268524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1679897011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 THREE ISLANDS BLVD APT 812",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097809",
            "telephone_number": "718-968-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612301",
            "telephone_number": "718-968-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "MARINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-14",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114048",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "1091482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.