JOHN J FAZIO (NPI# 1356364251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356364251 |
| Entity Type | Individual |
| Full Name | JOHN J FAZIO |
| Credential | CRNA |
| Practice Address |
201 Manor Pl Greenport NY 11944-1222 |
| Practice Telephone | 6314771000 |
| Mailing Telephone | 6314771000 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
375601 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE RAILROAD | 1356364251 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225195019 | John Edward Fazio | Dentist | 1185 E Pittsburg, Ste B1, Greensburg, PA 15601 | 2007-01-02 |
| 1245595941 | John A. Fazio | Counselor | 400 E Sheridan Rd, Melbourne, FL 32901-3122 | 2012-07-09 |
| 1841582939 | John E Fazio | Pharmacist | 246 8th Ave, New York, NY 10011-1646 | 2011-05-06 |
| 1619960721 | John R Fazio | Pathology | 4900 Broad Rd, Pathology Dept, Syracuse, NY 13215-2265 | 2005-08-24 |
| Street Address |
201 MANOR PL |
| City | GREENPORT |
| State | NY |
| Zip Code | 11944-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690691 | University Hospital At Stony Brook | General Acute Care Hospital | 201 Manor Pl, Greenport, NY 11944-1222 | 2005-06-27 |
| 1720607906 | Umar Asif | Student in an Organized Health Care Education/Training Program | 201 Manor Pl, Greenport, NY 11944-1222 | 2020-04-08 |
| 1114555455 | Sasha Weiss | Student in an Organized Health Care Education/Training Program | 201 Manor Pl, Greenport, NY 11944-1222 | 2020-03-31 |
| 1548898232 | Michael Parker | Student in an Organized Health Care Education/Training Program | 201 Manor Pl, Greenport, NY 11944-1222 | 2020-03-30 |
| 1336776723 | Thomas Spina | Student in an Organized Health Care Education/Training Program | 201 Manor Pl, Greenport, NY 11944-1222 | 2020-03-25 |
| 1164086914 | Emily Bluma Watkins | Student in an Organized Health Care Education/Training Program | 201 Manor Pl, Greenport, NY 11944-1298 | 2019-04-26 |
| 1235692559 | Rosemarie Anne Montecalvo | Student in an Organized Health Care Education/Training Program | 201 Manor Pl, Greenport, NY 11944-1222 | 2019-04-12 |
| 1356804512 | Michael Stephen La Sala | Psychiatry & Neurology | 201 Manor Pl, Greenport, NY 11944 | 2019-04-12 |
| 1841753696 | Harrison Strom | Student in an Organized Health Care Education/Training Program | 201 Manor Pl, Greenport, NY 11944-1298 | 2019-04-09 |
| 1730535477 | Joanne Cesiro | Physical Therapist | 201 Manor Pl, Greenport, NY 11944-1222 | 2016-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962586529 | Joseph John Pagano | Optometrist | 137 3rd Street, Greenport, NY 11944 | 2006-10-24 |
| 1629096672 | Daniel R Klages | Psychiatry & Neurology | 201 Manor Place, Greenport, NY 11944 | 2006-07-18 |
| 1356818611 | Patricia Dawn Liantonio | Massage Therapist | 449 Main Street, Greenport, NY 11944 | 2018-10-25 |
| 1184845109 | Robert Ringold | Registered Nurse | 201 Manor Place, Greenport, NY 11944 | 2007-05-01 |
| 1063586790 | Kai Maarten Sturmann | Emergency Medicine | 201 Manor Place, Emergency Department, Greenport, NY 11944 | 2006-11-17 |
| 1013094838 | Sunrise Busses, Inc. | Bus | 74675 West Front St, Greenport, NY 11944-0875 | 2006-11-01 |
| 1588730816 | Patricia E. Alcus | Nurse Practitioner | 300 Atlantic Ave, Greenport, NY 11944-1203 | 2006-11-28 |
| 1639341803 | Urological Associates of Li, PC | Specialist | 300 Atlantic Ave, Greenport, NY 11944-1203 | 2008-03-28 |
| 1689631616 | Patricia Margaret Muth | Social Worker | 213 Knapp Pl, Greenport, NY 11944-1218 | 2006-04-26 |
| 1265474951 | East End Nephrology, PC | Clinic/Center | 222 Manor Pl, Suite # 102, Greenport, NY 11944-1261 | 2006-06-10 |
| Find all providers in zip 11944 | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639681182 | Buffalo Np In Adult Health Services Pllc | Registered Nurse | 3045 Southwestern Blvd Ste 100, Orchard Park, NY 14127-1209 | 2017-10-24 |
| 1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
| 1730229527 | Elaine Mary Lennox | Registered Nurse | 80 Locust Hill Dr, Rochester, NY 14618-5415 | 2007-02-08 |
| 1023039211 | Paul F Habek | Registered Nurse | 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 | 2006-07-22 |
| 1033162888 | Debra Jane Dermady-ray | Registered Nurse | 6 Business Park Ct, Utica, NY 13502-6309 | 2006-05-19 |
| 1255325825 | Pamela J Madej | Registered Nurse | 116 Everett Rd, Albany, NY 12205-1427 | 2005-09-09 |
| 1912358623 | Theresa Mitchel | Registered Nurse | 191-32 Northern Blvd, Flushing, NY 11358-2829 | 2016-06-23 |
| 1093154114 | Mikhail Fiksman | Registered Nurse | 2076 E 13th St, Brooklyn, NY 11229-3304 | 2013-06-21 |
| 1356669436 | Jennice L Riley | Registered Nurse | 374 Stockholm St, C/o Faculty Practice Management- Suite 1-37n, Brooklyn, NY 11237-4006 | 2010-05-13 |
| 1386856466 | Leslie Kao | Registered Nurse | 2510 30th Ave, Long Island City, NY 11102-2448 | 2007-05-03 |
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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.