Fabio Deoliveira, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

021304 Issued in NY

Practice address

259 1St St
Mineola, NY 11501-3957

Phone

(516) 663-0333

NPI assigned

Sep 15, 2017

Last updated

Sep 19, 2017By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Mercy College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: fabiodeoliveira@nslijmedgr.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Medical Services of Kips Bay PC

  • Neurology Physician
  • Great Neck, NY
  • NPI 1669075651
  Medicare reassignment NPD
• True North Medical Group PC

  dba Orlin & Cohen Medical Specialists Group

  • Orthopaedic Surgery Physician
  • Merrick, NY
  • NPI 1659883486
  Medicare reassignment NPD
• Medical Services of Kips Bay PC

  • Orthopaedic Surgery Physician
  • Garden City, NY
  • NPI 1629671185
  NPD
• True North Medical Group PC

  dba Orlin and Cohen Medical Specialist Group

  • Oxygen Equipment & Supplies (DME)
  • Tarrytown, NY
  • NPI 1669272886
  NPD
• Mark Medical Care Nassau PLLC

  • Specialist
  • Roslyn Heights, NY
  • NPI 1609252907
  NPD (past)
• Radiology Interpretation Technology PLLC

  • Specialist
  • Ridgewood, NY
  • NPI 1700476462
  NPD (past)
• True North Medical Group PC

  • Cardiovascular Disease Physician
  • Bayside, NY
  • NPI 1669762258
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1891214391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 JACKSON AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOLIVEIRA",
        "first_name": "FABIO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "021304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elen Deng
• Justin Lorin Denise, D.O.
• Mary Elizabeth Dennehy, LCSW
• Stephen Robert Densen, DPM
• Chelise Mae Deoliveira, PNP
• Debra Nalini Deonarain
• Stephen James Deorio, PH. D. LCSW
• Paige Noel Deprisco, PA-C
• Sheryl G Derizzio, NP
• Shikha Desai

• Surgical Physician Assistant in Mineola, NY
• Providers in Mineola, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.