F Pacifico PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

141745 Issued in NY

Legal business name

F PACIFICO PC

Practice address

60 Queens St
Syosset, NY 11791-3058

Phone

(718) 702-7216

Fax

(831) 603-0351

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fernando Pacifico, M.D.NPI 1396858205

Title

President

Phone

(718) 702-7216

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Fernando Pacifico, M.D.

  • Internal Medicine Physician
  • Syosset, NY
  • NPI 1396858205
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1871776435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 QUEENS ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913058",
            "telephone_number": "718-702-7216",
            "fax_number": "831-603-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 QUEENS ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913058",
            "telephone_number": "718-702-7216",
            "fax_number": "831-603-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F PACIFICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "PACIFICO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-702-7216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "141745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole R Esposito, M.S. CCC-SLP
• Eugene Avrash DDS, Kathy Boadway DDS, PLLC
• Eunice Park MD PLLC
• Scott W Evanter, D.C.
• Kathleen Marie Everson, PSY.D.
• Fredric Fabiano, MD
• Louise Fabietti
• Samantha Jo Farella
• Farshad Lalehzarian MD PC
• Jessica Maria Fasano, LMT, CLT, MLD-C

• Internal Medicine Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.