| Emmanuel O Fashakin MD | |
|
10520 Jamaica Ave Fl 1 Richmond Hill NY 11418-2013 | |
| (718) 849-0702 | |
| (718) 591-0265 |
| Full Name | Emmanuel O Fashakin MD |
|---|---|
| Speciality | Clinic/Center |
| Location | 10520 Jamaica Ave Fl 1, Richmond Hill, New York |
| Authorized Official Name and Position | Emmanuel Olusegun Fashakin (PRESIDENT) |
| Authorized Official Contact | 7185911600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel O Fashakin MD 10520 Jamaica Ave Apt 1 Richmond Hill NY 11418-2013 Ph: (718) 591-1600 | Emmanuel O Fashakin MD 10520 Jamaica Ave Fl 1 Richmond Hill NY 11418-2013 Ph: (718) 849-0702 |
| NPI Number | 1447535323 |
|---|---|
| Provider Enumeration Date | 10/11/2011 |
| Last Update Date | 02/17/2026 |
| Certification Date | 02/17/2026 |
| Medicare PECOS PAC ID | 7416121561 |
|---|---|
| Medicare Enrollment ID | O20111129000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447535323 | NPI | - | NPPES |
| 01652235 | Medicaid | NY | |
| 202847 | Other | NY | LICENSE |
| 339296 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 202847 (New York) | Primary |
| Provider Name | Emmanuel O Fashakin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922154681 PECOS PAC ID: 2365402773 Enrollment ID: I20050202000713 |
| Provider Name | Abby Nimotalai Fashakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952799033 PECOS PAC ID: 0244557049 Enrollment ID: I20150316000332 |
Project Samaritan Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11711 Myrtle Ave, Richmond Hill, NY 11418 Phone: 718-847-9233 Fax: 718-849-1093 |
Satish K Chawla MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8656 107th St, Richmond Hill, NY 11418 Phone: 718-441-1402 |
Catherine Alikor Mpi, Physician PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8918 134th St, Richmond Hill, NY 11418 Phone: 718-523-2727 Fax: 718-206-3059 |
Queens Professional Medical Care,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11110 Jamaica Ave, Richmond Hill, NY 11418 Phone: 516-599-4475 Fax: 516-599-2185 |
Four Corners Medical PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11622 Metropolitan Ave, Richmond Hill, NY 11418 Phone: 347-466-3605 Fax: 347-317-7895 |
First Health Medical P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103-25 114th Street, Richmond Hill, NY 11419 Phone: 718-835-1444 Fax: 718-835-7003 |