Mayya Fasolya, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

219839-1 Issued in NY

Practice address

2814 Clarendon Rd
Brooklyn, NY 11226-6318

Phone

(718) 469-7363

Fax

(718) 469-7551

NPI assigned

Oct 18, 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

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

Specialty

Family Practice

Education

New York College of Osteo Medicine of New York Institute of Technology, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brooklyn Comprehensive Care Center Inc.Group PAC ID 9830148279, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: mfasolya@direct.meditouchehr.com

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.

• Brooklyn Comprehensive Care Center Inc.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1154355105
  Medicare reassignment Care Compare group NPD
• Allcity Medical, P.C.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1285071266
  Medicare reassignment NPD
• Brooklyn Medical Associate, LFPC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1851685846
  NPD (past)

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

• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1972684751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 E 13TH ST",
            "address_2": "APT 1D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291152",
            "telephone_number": "718-375-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 CLARENDON RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266318",
            "telephone_number": "718-469-7363",
            "fax_number": "718-469-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASOLYA",
        "first_name": "MAYYA",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219839-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02137786",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Fasciano, M.D.
• Zu Fashan, M.D.
• Fashion Optics of Ny Inc
• Israel Olusegun Fashusi, RN
• Sohaib Fasih-Ahmad, MD
• Bracha Baila Fass
• Chanie Fass, PHARMD
• Nechama Fass
• Fast & Friendly Pharmacy LLC
• Fast Aid Pharmacy

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.