JAMES C FAGIN (NPI# 1447344577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447344577 |
| Entity Type | Individual |
| Full Name | JAMES C FAGIN |
| Credential | MD |
| Practice Address |
1 Dakota Drive Suite 312 Lake Success NY 11042 |
| Mailing Address |
2800 Marcus Ave New Hyde Park NY 11042-1113 |
| Practice Telephone | 5166082898 |
| Practice Fax Number | 5166082897 |
| Mailing Telephone | 5166226000 |
| Mailing Fax Number | 5166082897 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
136140 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01120598 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932164886 | James Alexander Fagin | Internal Medicine | 1275 York Ave, New York, NY 10021-6007 | 2006-04-20 |
| Street Address |
1 DAKOTA DRIVE SUITE 312 |
| City | LAKE SUCCESS |
| State | NY |
| Zip Code | 11042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588059448 | Melissa Danielle Gans | Pediatrics | 19 Bradhurst Ave Ste 1400, Hawthorne, NY 10532-2144 | 2015-03-30 |
| 1164711453 | Bhumika Patel | Pediatrics | Dept. of Medicine Hsc T16, Stony Brook University Hospital, Stony Brook, NY 11794 | 2011-04-07 |
| 1831253681 | Caroline G Bauman | Pediatrics | 115 Davis Ave, White Plains, NY 10605 | 2006-12-19 |
| 1184795270 | Blanka Kaplan | Pediatrics | Sch - Dept of Allergy Immunology, 865 Northern Boulevard, Great Neck, NY 11021 | 2006-11-13 |
| 1346355625 | Elizabeth Joy Loewy-vukic | Pediatrics | 160 W End Ave Apt 1h, New York, NY 10023-5602 | 2006-08-20 |
| 1245273135 | Daniel Mayer | Pediatrics | 263 East Main Street, Smithtown, NY 11787 | 2006-06-14 |
| 1225070303 | Kalpana Patel | Pediatrics | 10 S Snedecor Ave, Bayport, NY 11705-2133 | 2006-06-12 |
| 1447549019 | Elizabeth Feuille | Pediatrics | 505 E 70th St Fl 3, New York, NY 10021-4872 | 2011-04-04 |
| 1376845453 | Advanced Allergy & Asthma Assessment & Diagnostic, P.C. | Pediatrics | 202-28 45th Avenue, Bayside, NY 11361-2540 | 2010-11-23 |
| 1184941213 | Irina Katayeva | Pediatrics | 800 Poly Pl, Brooklyn, NY 11209 | 2010-04-29 |
| Find all providers with the same taxonomy | ||||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
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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.