JOHN A. FACCHIN, O.D. (NPI# 1871776450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871776450 |
| Entity Type | Organization |
| Organization Name | JOHN A. FACCHIN, O.D. |
| Practice Address |
111 Grand Ave Massapequa NY 11758-4905 |
| Mailing Address |
1 Maple St Massapequa NY 11758-5718 |
| Practice Telephone | 5167982635 |
| Mailing Telephone | 5162207787 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | DR. JOHN A. FACCHIN (SOLE PROPRIETOR) |
| Authorized Official Telephone | 5167982635 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0978400001 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01474419 | 05 |
| Street Address |
111 GRAND AVE |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556341 | Coastal Medical Supplies | Durable Medical Equipment & Medical Supplies | 140 Unqua Rd, Massapequa, NY 11758-7519 | 2019-09-09 |
| 1992276539 | Advanced Therapeutics of Li | Durable Medical Equipment & Medical Supplies | 141 Unqua Rd, Massapequa, NY 11758-7518 | 2018-12-07 |
| 1598298911 | Ultra Medical Technologies | Durable Medical Equipment & Medical Supplies | 271 N Delaware Ave, Massapequa, NY 11758-1830 | 2017-04-04 |
| 1023287752 | Professional Industries Ltd | Durable Medical Equipment & Medical Supplies | 63a Grand Ave, Massapequa, NY 11758-4905 | 2008-02-27 |
| 1962693085 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4360 Sunrise Hwy, Massapequa, NY 11758-5345 | 2007-08-05 |
| 1699872465 | Pathmark Stores Inc | Durable Medical Equipment & Medical Supplies | 941 Carmans Rd, Massapequa, NY 11758-3504 | 2006-09-20 |
| 1790702926 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 200 Sunrise Mall, Massapequa, NY 11758-4340 | 2006-07-16 |
| 1649295296 | Waldbaum Inc | Durable Medical Equipment & Medical Supplies | 5508 Sunrise Hwy, Massapequa, NY 11758-5328 | 2006-07-13 |
| 1760412779 | Genovese Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 33-37 Hicksville Road, Massapequa, NY 11758 | 2006-07-04 |
| 1598135725 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 702 Hicksville Rd, Massapequa, NY 11758-1260 | 2015-09-30 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
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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.