Active NPIIndividual provider

Fayrose F Abodeshisha, RPA-C

Physician Assistant, Surgical in New York, New York

NPI Number1245482413
Practice location
462 1ST Ave, New York, NY 10016-9196
Fax
—
Last updated
January 6, 2025

Fayrose Fouad Abodeshisha is a Physician Assistant, Surgical based in New York, NY. Fayrose Fouad Abodeshisha practices in New York, NY and has the professional credentials of RPA-C. The NPI Number for Fayrose Fouad Abodeshisha is 1245482413 and holds a License No. 23 012911 (NY). The current practice location address for Fayrose Fouad Abodeshisha is 462 1ST Ave, New York, NY 10016-9196 and can be reached out via phone at 212-562-3917.

Provider Profile Details

NPI Number
1245482413
Provider Name
Fayrose Fouad Abodeshisha
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
462 1ST Ave, New York, NY 10016-9196
Phone Number
212-562-3917
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2008
Last Update Date
January 6, 2025
Certification Date
January 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
462 1ST Ave
New York, NY 10016-9196
Zip
10016-9196
Phone Number
212-562-3917
New York, NY 10016Get directions →

Provider Business Mailing Address Details

Address
331 Newman Springs Road
Bldg. 2, Suite 220
Red Bank, NJ 07701
City
Red Bank
State
NJ
Zip
07701
Phone Number
732-807-0877
Fax Number
201-751-1680

License Information

License Number
23 012911
License State
NY
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fayrose F Abodeshisha, RPA-C?

The NPI number of Fayrose F Abodeshisha, RPA-C is 1245482413. It was assigned on October 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Fayrose F Abodeshisha, RPA-C?

Fayrose F Abodeshisha, RPA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 23 012911.

Where does Fayrose F Abodeshisha, RPA-C practice?

The practice location is 462 1ST Ave, New York, NY 10016-9196. The office can be reached at 212-562-3917 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245482413 directly on the NPPES registry website.

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