Cristina Fanita, RT

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

512610 Issued in NY

Practice address

800 Poly PL
Brooklyn, NY 11209-7104

Phone

(718) 630-3605

NPI assigned

Dec 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cristina Gheoghe Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1700284346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SKILLMAN AVE",
            "address_2": "APT 1D",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774169",
            "telephone_number": "646-269-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097104",
            "telephone_number": "718-630-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANITA",
        "first_name": "CRISTINA",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "NY",
            "license": "512610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "GHEOGHE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Weilun Fang
• Xia Fang, CEP
• Yanan Fang
• Zhan Yu Fang, D.M.D.
• M S Elisabeth Fanini-Lemoine Colon, MD
• Margaret Fankhauser
• Fanny NG Psychology Services PLLC
• Nerlande Fanor
• Beatrice Fanord
• Etienna Fanord

• Radiologic Technologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Radiologic Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2014; 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.