NPIMap

Organization Active NPI

Fan Medicine Consultant,PLLC

  • Anesthesiology Physician
  • Staten Island, NY
National Provider Identifier
1780156711
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FAN MEDICINE CONSULTANT,PLLC
Practice address
1200 South Ave Ste 301
Staten Island, NY 10314-3420
Phone
(718) 986-5394
Fax
(718) 785-9564
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Michelle Rose Fiorenza
Title
Credentialist
Phone
(718) 986-5394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1200 South Ave Ste 301
Staten Island, NY 10314-3420

Mailing address

35 Laurie CT
Staten Island, NY 10304-2900
Phone (718) 986-5394

Other practice location 1

35 Laurie Ct
Staten Island, NY 10304-2900
Phone (718) 986-5394

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1780156711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 LAURIE CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042900",
            "telephone_number": "718-986-5394",
            "fax_number": "718-785-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SOUTH AVE STE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143420",
            "telephone_number": "718-986-5394",
            "fax_number": "718-785-9564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Laurie Ct",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103042900",
            "country_code": "US",
            "telephone_number": "718-986-5394",
            "fax_number": "718-785-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAN MEDICINE CONSULTANT,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "FIORENZA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "718-986-5394"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.