Individual provider Active NPI

Emmanuel Olusegun Fashakin, M.D.

  • Family Medicine Physician
  • Richmond Hill, NY
National Provider Identifier
1922154681
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202847 Issued in NY
Practice address
10520 Jamaica Ave
Richmond Hill, NY 11418-2013
Phone
(718) 591-1600
Fax
(718) 591-0265
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202847 NY Primary

Addresses

Primary practice location

10520 Jamaica Ave
Richmond Hill, NY 11418-2013

Mailing address

10520 Jamaica Ave
Richmond Hill, NY 11418-2013
Phone (718) 591-1600

Other identifiers 1

IdentifierTypeStateIssuer
01652235MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000713 NY Practitioner - Family Practice 2365402773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbydek Family Medical Practice PCGroup PAC ID 7416121561, 2 clinicians

Practice addresses (Care Compare)

10520 Jamaica Ave
Richmond Hill, NY 11418-2013
Phone (718) 849-0702

656 Pennsylvania Ave
Brooklyn, NY 11207-6907
Phone (718) 342-2446

7838 Parsons Blvd
Flushing, NY 11366-1930
Phone (718) 591-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Abbydek Family Medical Practice PC CurrentSince Oct 20, 2011 Accepting new patients
TJH Medical Services, P.C. Family Medicine Past Accepting new patients
Booth Medical Associates PC Past Accepting new patients

Locations

7838 Parsons Blvd
Ste 1
Flushing, NY 11366
Phone (718) 591-1600

10520 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 591-1600

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIFAA/Endpoint/GDIFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIFAA

Organizations & group practices 3

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1922154681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10520 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182013",
            "telephone_number": "718-591-1600",
            "fax_number": "718-591-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 JAMAICA AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182013",
            "telephone_number": "718-591-1600",
            "fax_number": "718-591-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASHAKIN",
        "first_name": "EMMANUEL",
        "middle_name": "OLUSEGUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652235",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.