DR. DAVID FAGAN (NPI# 1245233790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245233790 |
| Entity Type | Individual |
| Full Name | DR. DAVID FAGAN |
| Credential | M.D. |
| Practice Address |
2016 Bronxdale Ave Ste 203 Bronx NY 10462-3365 |
| Mailing Address |
180 W Olive St Long Beach NY 11561-3314 |
| Practice Telephone | 7185970700 |
| Practice Fax Number | 7185979500 |
| Mailing Telephone | 5167055170 |
| Mailing Fax Number | 7185979500 |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 210189 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912041302 | David Michael Fagan | Optometrist | 901 N Federal Hwy, Fort Lauderdale, FL 33304-2706 | 2007-02-18 |
| 1912929068 | David G Fagan | Family Medicine | 11 Medical Park, Valley, AL 36854-3665 | 2006-07-24 |
| 1841220423 | David S Fagan | Internal Medicine | 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264-3170 | 2006-07-03 |
| 1952354763 | David B Fagan | Orthopaedic Surgery | 12700 Southfork Rd, Ste 270, Saint Louis, MO 63128-3201 | 2006-05-19 |
| Street Address |
2016 BRONXDALE AVE STE 203 |
| City | BRONX |
| State | NY |
| Zip Code | 10462-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467723 | Md Rezaul Hoque | Internal Medicine | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2017-06-27 |
| 1568847952 | Union Community Health Center, Inc. | Clinic/Center | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2015-07-27 |
| 1992938534 | Sapna Prabhakaran | Pediatrics | 2016 Bronxdale Ave, Suite 203, Bronx, NY 10462-3388 | 2009-08-31 |
| 1770718504 | Bronx Park Dental PC | Dentist | 2016 Bronxdale Ave, #303, Bronx, NY 10462-3388 | 2009-05-22 |
| 1669612966 | Marc Vital-herne Physician,p.c | Psychiatry & Neurology | 2016 Bronxdale Ave, Suite # 101, Bronx, NY 10462-3388 | 2009-02-26 |
| 1043410269 | Bronx Park Medical Surgical Associates PC | Surgery | 2016 Bronxdale Ave, Suite 202, Bronx, NY 10462-3388 | 2007-07-25 |
| 1104024116 | New York Urological Services, P.C. | Urology | 2016 Bronxdale Ave, Suite 202, Bronx, NY 10462-3388 | 2007-07-11 |
| 1053526509 | Bronx Park Rehabilitation & Sports Medicine PC | Specialist | 2016 Bronxdale Ave, Suite 101, Bronx, NY 10462-3388 | 2007-05-10 |
| 1528104825 | George J. Cisneros | Dentist | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2007-01-30 |
| 1376699702 | Stuart Remer, Md | Orthopaedic Surgery | 2016 Bronxdale Ave, Bronx, NY 10462-3388 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629616198 | Ark Orthodontics Pllc | Dentist | 1332 Metropolitan Ave A/b, Bronx, NY 10462 | 2019-12-16 |
| 1568007714 | Afrah Saleh Abisse | Student in an Organized Health Care Education/Training Program | 715 Van Nest Ave Apt 2d, Bronx, NY 10462 | 2019-11-12 |
| 1255981486 | Angelica Cruz | Behavior Technician | 727 Morris Park Ave # 3653, Bronx, NY 10462 | 2019-09-19 |
| 1366907644 | Rebekah Rehab Assisted Living Program, Inc. | Assisted Living Facility | 1050 Havemeyer Ave, Bronx, NY 10462 | 2019-01-31 |
| 1598235467 | Windsor Leasing Corp. | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave., Bronx, NY 10462 | 2018-12-04 |
| 1255807640 | Winchie Do | Pharmacist | 1660 Paulding Ave, Bronx, NY 10462 | 2018-10-23 |
| 1477033843 | Silva Stars Transportation | Non-emergency Medical Transport (VAN) | 2187 Cruger Ave, Suite 2d, Bronx, NY 10462 | 2018-08-15 |
| 1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
| 1972035749 | Kalor Riley | Occupational Therapy Assistant | 2165 Matthews Ave Apt2h, Bronx, NY 10462 | 2017-03-31 |
| 1992247472 | Jora Mgt, Corp | Non-emergency Medical Transport (VAN) | 1598 Bronxdale Ave, Bronx, NY 10462 | 2016-11-15 |
| Find all providers in zip 10462 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1083008932 | Claudia Suarez-makotsi | Pediatrics | 2300 Westchester Ave Ste 302, Bronx, NY 10462 | 2015-03-27 |
| 1588058846 | Aisha Angela Bobb-semple | Pediatrics | 1650 Grand Concourse Fl 3, Bronx, NY 10457-7606 | 2015-03-25 |
| 1972996809 | Rebecca Ariella Berger | Pediatrics | 2100 Bartow Ave Rm 311, Bronx, NY 10475-4614 | 2015-03-17 |
| 1962807446 | Hoda Karbalivand | Pediatrics | 1400 Pelham Pkwy S # 6-b25, Bronx, NY 10461-1197 | 2014-10-27 |
| 1871997924 | Ganguly Associates Md PC | Pediatrics | 140 Benchley Pl Frnt 1, Bronx, NY 10475-3502 | 2014-10-17 |
| 1871994228 | Elmer Arteaga Medical PC | Pediatrics | 3201 Grand Concourse Apt 2m, Bronx, NY 10468-1226 | 2014-09-04 |
| 1154734598 | Nora Barmawi | Pediatrics | 4487 3rd Ave Fl 2, Bronx, NY 10457-1526 | 2014-06-03 |
| 1740539931 | Nataliya Krivitskaya | Pediatrics | 627 Lydig Ave, 1 Fl, Bronx, NY 10462-2283 | 2012-09-03 |
| 1770847600 | Merna Gordon | Pediatrics | 770 Grote Street, Bronx, NY 10460 | 2012-06-26 |
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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.