Individual provider Active NPI

Stephanie Faton, FNP

  • Family Nurse Practitioner
  • Cambria Heights, NY
National Provider Identifier
1801217229
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338107-1 Issued in NY
Practice address
20620 Linden Blvd
Cambria Heights, NY 11411-1524
Phone
(718) 479-6600
Fax
(718) 943-2821
NPI assigned
Jan 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338107-1 NY Primary

Addresses

Primary practice location

20620 Linden Blvd
Cambria Heights, NY 11411-1524

Mailing address

1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140521002495 NY Practitioner - Nurse Practitioner 4284857178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fulton Medical PCGroup PAC ID 8527201540, 19 clinicians

Practice addresses (Care Compare)

60 Queens St
Suite 100
Syosset, NY 11791-3058
Phone (631) 271-9151

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Quality
79.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
338107NYMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
F338107-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Medical Services P.C. CurrentSince Jan 15, 2014 Accepting new patients
Fulton Medical, P.C. CurrentSince Jan 15, 2014 Accepting new patients
Qlimg Rochdale Village OB/GYN Office Past Accepting new patients
East Northport Residential Health Care Facility, Inc Past Accepting new patients
Hematology and Oncology of Li PLLC Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

68 Hauppauge Rd
Commack, NY 11725
Phone (631) 499-6500

5353 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-1800

400 S Service Rd
Melville, NY 11747
Phone (631) 439-3000

2478 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 317-1681

305 Locust Ave
Oakdale, NY 11769
Phone (631) 218-5900

60 Queens St
Ste 100
Syosset, NY 11791
Phone (347) 267-0904

Organizations & group practices 5

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": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1801217229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302133",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20620 LINDEN BLVD",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111524",
            "telephone_number": "718-479-6600",
            "fax_number": "718-943-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATON",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338107-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

Verify at the official NPI Registry.