Active NPI
Marina Fay, PA-C
- Medical Physician Assistant
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1091482
- Practice address
- 1825 Eastchester Rd
Bronx, NY 10461-2301 - Phone
- (718) 968-5637
- NPI assigned
- Mar 14, 2010
- Last updated
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114048 | FL | MD | Medical Physician Assistant |
| 1091482 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | 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
- 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.
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-
- Neurology Physician
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- NPI 1104406750
-
- Primary Care Nurse Practitioner
- Hallandale Beach, FL
- NPI 1174236566
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Neurology Physician
- Brooklyn, NY
- NPI 1073947156
-
- Clinical Neurophysiology Physician
- Valley Stream, NY
- NPI 1750793642
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Internal Medicine Physician
- New York, NY
- NPI 1871751735
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.