DR. PHILIP CARMINE FRACASSA (NPI# 1023072949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023072949 |
| Entity Type | Individual |
| Full Name | DR. PHILIP CARMINE FRACASSA |
| Credential | M.D. |
| Practice Address |
393 Franklin Ave Suite 104 Franklin Square NY 11010-1227 |
| Practice Telephone | 5163521380 |
| Practice Fax Number | 5163521381 |
| Mailing Telephone | 5163521380 |
| Mailing Fax Number | 5163521381 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2010-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 122364-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AETNA | 884939 | 01 |
| NY | OXFORD HEALTH PLANS | AS639 | 01 |
| NY | GHI | 0094688 | 01 |
| NY | UNITED HEALTH CARE | 112526966 | 01 |
| NY | HIP | 25403P | 01 |
| NY | BLUE CROSS/BUE SHIELD | 320111 | 01 |
| NY | HEALTHCARE PARTNERS | 660440 | 01 |
| Street Address |
393 FRANKLIN AVE SUITE 104 |
| City | FRANKLIN SQUARE |
| State | NY |
| Zip Code | 11010-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699206391 | Christine M Fuchs | Counselor | 393 Franklin Ave, Suite Number 101, Franklin Square, NY 11010-1222 | 2017-03-23 |
| 1821498619 | Alissa Nunes | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2014-08-28 |
| 1154767051 | Nafeesah Faheemah Antwine | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2013-05-17 |
| 1780947689 | Leslie Ann Barr Mclean | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2012-06-17 |
| 1225390966 | Valerie Camarano | Psychologist | 393 Franklin Ave, Ste 101, Franklin Square, NY 11010-1222 | 2012-06-08 |
| 1447586318 | Psychologist On Wheels PC | Psychologist | 393 Franklin Ave, 101, Franklin Square, NY 11010-1222 | 2009-10-27 |
| 1710211628 | Alex G Pappas, Dds, Pllc | Dentist | 393 Franklin Ave, Suite #103, Franklin Square, NY 11010-1222 | 2009-09-24 |
| 1316170582 | Gabriela Vera Nelson | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2009-09-03 |
| 1346476033 | Charles Edward Yurkewicz | Psychologist | 393 Franklin Ave, Suite 101, Franklin Square, NY 11010-1222 | 2009-06-08 |
| 1750401600 | Anthony Ienna | Dentist | 393 Franklin Ave, Ste 103, Franklin Square, NY 11010-1222 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362789 | Thalia Vasquez | Behavior Technician | 1069 Hempstead Turnpike, #1, Franklin Square, NY 11010 | 2018-07-02 |
| 1790214336 | Marisa Nandini Basdeo | Speech-Language Pathologist | 771 Brower Avenue, Franklin Square, NY 11010 | 2017-06-07 |
| 1477911667 | Dominique Nicolich | Early Intervention Provider Agency | 210-26 Franklin Avenue, Franklin Square, NY 11010 | 2016-02-03 |
| 1275906414 | Michael Reddington | Specialist/Technologist | 717 Elm Street, Franklin Square, NY 11010 | 2015-11-10 |
| 1790185635 | Ashley Blonder | Pediatrics | 308 Dogwood Avenue, Franklin Square, NY 11010 | 2014-08-28 |
| 1013293323 | Elizabeth Mccaffrey | Registered Nurse | 35 Sherwood Ave, Franklin Square, NY 11010 | 2011-11-01 |
| 1427332857 | Bzpharmacy Inc | Pharmacy | 905 Hempstead Tpke, Franklinsquare, NY 11010 | 2011-10-04 |
| 1376872382 | Kristen Laura Nigro | Dentist | 1040 Hempstead Tpk, Suite 10, Franklin Square, NY 11010 | 2009-12-22 |
| 1053501478 | Susan Sisselman | Physical Therapist | 562 Dogwood Avenue, Franklin Square, NY 11010 | 2007-08-01 |
| 1205035300 | Nancy M Elbasty | Pediatrics | 380 Dogwood Avenue, Franklin Square, NY 11010 | 2007-07-17 |
| Find all providers in zip 11010 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN SQUARE |
| Zip Code | 11010 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.