Individual provider Active NPI

Andrew Fasano, M.D.

  • Pediatric Adolescent Medicine Physician
  • Bellmore, NY
National Provider Identifier
1760435150
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
217705 Issued in NY
Practice address
2073 Newbridge Rd
Bellmore, NY 11710-2222
Phone
(516) 781-9898
Fax
(516) 781-9702
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 217705 NY Primary

Addresses

Primary practice location

2073 Newbridge Rd
Bellmore, NY 11710-2222

Mailing address

2073 Newbridge Rd
Bellmore, NY 11710-2222
Phone (516) 781-9898

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210203000908 NY Practitioner - Pediatric Medicine 8820402811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Pediatrics PLLC CurrentSince Feb 13, 2025 Accepting new patients
John Zaso DO PC PastSince Mar 28, 2021 Accepting new patients

Locations

2073 Newbridge Rd
Bellmore, NY 11710
Phone (516) 781-9598

611 Merrick Ave
East Meadow, NY 11554
Phone (516) 794-7969

613 Merrick Ave
East Meadow, NY 11554

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECBGBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760435150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 NEWBRIDGE RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117102222",
            "telephone_number": "516-781-9898",
            "fax_number": "516-781-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 NEWBRIDGE RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117102222",
            "telephone_number": "516-781-9898",
            "fax_number": "516-781-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "217705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

Verify at the official NPI Registry.