MR. JOSEPH S. FANELLI (NPI# 1184735342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184735342 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH S. FANELLI |
| Credential | R-PA-C (PHYSICIAN AS |
| Practice Address |
192 East Shore Rd Great Neck NY 11023 |
| Practice Telephone | 5164874500 |
| Practice Fax Number | 5164877439 |
| Mailing Telephone | 5164874500 |
| Mailing Fax Number | 5164877439 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0099421 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821209396 | Joseph P. Fanelli | Marriage & Family Therapist | 211 Wellesley Rd, Syracuse, NY 13207-1628 | 2007-05-25 |
| 1205962495 | Joseph G Fanelli | Psychiatry & Neurology | 100 W Chicago Avenue, Suite F, East Chicago, IL 46312-3260 | 2007-02-24 |
| 1447737614 | Joseph Louis Fanelli | Dentist | 4515 Metro Pkwy, Sterling Heights, MI 48310 | 2018-07-20 |
| Street Address |
192 EAST SHORE RD |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134296866 | Nathan D Schulman | Internal Medicine | 192 East Shore Rd, Great Neck, NY 11023 | 2006-11-29 |
| 1841367588 | Stewart Robbins | Internal Medicine | 192 East Shore Rd, Great Neck, NY 11023 | 2006-11-29 |
| 1477647055 | Richard Lawrence Bronzo X | Internal Medicine | 192 East Shore Rd, Great Neck, NY 11023 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355581 | Jennifer Cain | Psychologist | 310 East Shore Rd. Suite 100, Great Neck, NY 11023 | 2019-03-13 |
| 1609346774 | Othniel Physical Therapy PC | Physical Therapist | 444 Middleneck Rd, Suite 1h, Greatneck, NY 11023 | 2018-11-30 |
| 1720403215 | Jason Li | Pharmacist | 125 Maple Street, Great Neck, NY 11023 | 2014-02-20 |
| 1356772156 | Eliian Ramezani | Physical Therapist | 444 Middle Neck Rd Apt 1h, Great Neck, NY 11023 | 2013-12-03 |
| 1710222625 | Jason Sonbolian | Registered Nurse | 22 Chadwick Road, Great Neck, NY 11023 | 2012-12-04 |
| 1659672020 | Marni Rebecca Weinberg | Speech-Language Pathologist | 15 Hutchinson Court, Great Neck, NY 11023 | 2010-11-16 |
| 1568780179 | Dara Bruckner | Physician Assistant | 17 Brokaw Lane, Great Neck, NY 11023 | 2010-05-06 |
| 1205070778 | Rachel Lee Klerer-axelrod | Physical Therapist | 76 Berkshire Road, Great Neck, NY 11023 | 2009-04-28 |
| 1336306455 | Lorrell Heather Zegarelli | Specialist/Technologist | 90 East Shore Road Inside Equinox, Professional Orthopedic and Sports Physical Therapy, Great Neck, NY 11023 | 2008-05-16 |
| 1841471158 | Heikyung Uh | Pharmacist | 152-154 Middle Neck Road, Great Neck, NY 11023 | 2007-11-15 |
| Find all providers in zip 11023 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394662 | Nancy Tang | Physician Assistant | 71 Udall Dr, Great Neck, NY 11020-1529 | 2020-01-05 |
| 1467750141 | Dalia Yadegar | Physician Assistant | 211 Kings Point Rd, Great Neck, NY 11024-1011 | 2011-03-04 |
| 1891180360 | Allison Reyes | Physician Assistant | 488 Great Neck Rd, Great Neck, NY 11021-4315 | 2015-04-01 |
| 1063702710 | Alliad Pediatrics | Physician Assistant | 935 Northern Blvd, Great Neck, NY 11021-5316 | 2011-04-14 |
| 1710112644 | Cristina Pichardo | Physician Assistant | 900 Northern Blvd, Great Neck, NY 11021-5337 | 2009-05-21 |
| 1194844191 | Janet T Brooks | Physician Assistant | 865 Northern Blvd, Great Neck, NY 11021-5310 | 2007-03-29 |
| 1699893818 | Jenifer Courtney | Physician Assistant | 865 Northern Blvd, Great Neck, NY 11021-5310 | 2007-03-26 |
| 1083755375 | Donna Falk-carter | Physician Assistant | 1000 Northern Blvd, Suite 370, Great Neck, NY 11021-5312 | 2007-02-09 |
| 1437218450 | Shaheen Abdulrasul Khalfan | Physician Assistant | 233 E Shore Rd, Suite 101, Great Neck, NY 11023-2433 | 2006-12-06 |
| 1760584114 | Erin Spector | Physician Assistant | 865 Northern Blvd, Suite 101, Great Neck, NY 11021-5335 | 2006-09-05 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11023 |
Please comment or provide details below to improve the information on MR. JOSEPH S. FANELLI.
| 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.