Active NPI
Fiona Eapen, RPA-C
- Physician Assistant
- Bellmore, NY
National Provider Identifier
1710112289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 010511
- Practice address
- 2592 Merrick Rd Unit B
Bellmore, NY 11710-5742 - Phone
- (516) 826-7800
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | ||
| Physician Assistant | 363A00000X | 010511 | NY | Primary |
Addresses
Primary practice location
2592 Merrick Rd Unit B
Bellmore, NY 11710-5742
Mailing address
444 Merrick Rd
Ste LL2
Lynbrook, NY 11563-2400
Phone (516) 599-4242
Other practice location 1
21008 Northern Blvd
Suite 2
Bayside, NY 11361-3211
Phone (718) 224-8200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 Merrick Rd
Suite LL2
Lynbrook, NY 11563-2400
Phone (516) 599-4242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010511 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Dermatologic Associates, LLP | Past | Accepting new patients |
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.
-
- Specialist
- Lynbrook, NY
- NPI 1447264387
-
- Specialist
- Bellmore, NY
- NPI 1750557914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1710112289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MERRICK RD",
"address_2": "STE LL2",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632400",
"telephone_number": "516-599-4242",
"fax_number": "516-599-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2592 MERRICK RD UNIT B",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117105742",
"telephone_number": "516-826-7800"
}
],
"practiceLocations": [
{
"address_1": "21008 Northern Blvd",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113613211",
"country_code": "US",
"telephone_number": "718-224-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EAPEN",
"first_name": "FIONA",
"name_prefix": "Miss",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "010511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.