Maryanne R Farina, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000887 Issued in CT

Practice address

100 Patriots Rd
Stony Brook, NY 11790-3318

Phone

(631) 444-8608

Fax

(631) 444-8778

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

86.46 of 100Reported as group

Quality

73.89

Promoting interoperability

89

Improvement activities

40

Cost

75.72

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1952411936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318",
            "telephone_number": "631-444-8608",
            "fax_number": "631-444-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318",
            "telephone_number": "631-444-8608",
            "fax_number": "631-444-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARINA",
        "first_name": "MARYANNE",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004187466",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Fan, MD
• Tina Mei Fan, M.D.
• Georgios Fanariotis, MD
• Anne Claire Farid, MD
• Joanne Elizabeth Fariello, LPN
• Amanda Faris, MD
• Emelia Louise Farnsworth, DO
• Kanwal Farooq, MD
• Wilfred Henry Farquharson IV, PH.D.
• Kanhai Farrakhan, MD

• Medical Physician Assistant in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.