Thomas Edward Fealey, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

147651 Issued in NY

Practice address

723 Broadway
Staten Island, NY 10310-2833

Phone

(718) 448-4747

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Marie L. Vartolo M.D.P.C.

  • Obstetrics & Gynecology Physician
  • Staten Island, NY
  • NPI 1700952694
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871676841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102833",
            "telephone_number": "718-448-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102833",
            "telephone_number": "718-448-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEALEY",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "147651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Fazio, LPN
• Maria Catherine Fazio, BCBA
• Richard Anthony Fazio, M.D.
• Staci Ann Fazio, LPN
• FC Medical Inc
• Felix Fearns, PA
• Marie Feaser
• Kristina Fecanji-Sheshi, DO
• Catherine Maria Fedeli, M.S.E.D
• Sarah C Feder

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.