Michael Fano, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

332757 Issued in NY

Practice address

105 - 04 Sutphin Blvd
Jamaica, NY 11432

Phone

(855) 681-8700

Fax

(718) 943-6788

NPI assigned

Aug 19, 2006

Last updated

Dec 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Fano Professional name

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: michael.fano@hrh.eclinicaldirectplus.com

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.

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment Care Compare group NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD
• Help/Psi,Inc.

  • Adult Day Care Clinic/Center
  • Bronx, NY
  • NPI 1891020145
  NPD (past)
• LMC Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346256104

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1740394204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 - 04 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11435",
            "telephone_number": "718-725-5000",
            "fax_number": "718-725-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 - 04 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "855-681-8700",
            "fax_number": "718-943-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANO",
        "first_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "332757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "332757",
            "identifier": "LICENSE NUMBER",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "FANO",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Family First Health NP in Family Health PLLC
• Olusegun Famodimu
• Wei Livy Fan, M.D.
• Roseann Darlissa Fana-Perez, MD
• Gene Steven Fang, D.D.S.
• Sahera Fareha, PA-C
• Funmilayo Temitope Farinde, NP
• Syed Farkruzzaman
• Carol Farmer
• Omid Farokhpour

• Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.

Verify at the official NPI Registry.