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DR. CANDIDO E FUENTES MD
NPI 1063590230
Specialist in Huntington, NY

Active since November 02, 2006Opted out of Medicare · through May 15, 2027
120 NEW YORK AVE, 1W, HUNTINGTON, NY 11743(631) 385-9377(631) 385-4372 Get Directions Write a Review

NPPES record last updated: October 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Candido E Fuentes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CANDIDO E FUENTES MD (NPI 1063590230) is an individual specialist in Huntington, New York, licensed in New York (148869) and active in the NPI registry since November 2006. He has opted out of Medicare through May 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063590230
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CANDIDO E FUENTESCredential: MD
Location Address120 NEW YORK AVE, 1WHuntington, NY 11743-2743
Mailing Address120 New York Ave, 1wHuntington, NY 11743-2743 · (631) 385-9377 · Fax (631) 385-4372
Phone(631) 385-9377
Fax(631) 385-4372
Sole ProprietorYes
Enumeration DateNovember 2, 2006
Last NPPES UpdateOctober 12, 2010
✔ NPI 1063590230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 148869
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
120 NEW YORK AVE, Huntington, NY 11743
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Other Identifiers 2

Medicare ID-Type Unspecified46D543NY
Medicare UPINA62859NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Candido E Fuentes Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2025 through May 15, 2027.

Opt-Out Effective DateMay 15, 2025
Opt-Out In Effect ThroughMay 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDIDO FUENTES-FELIX PHYSICAN PC
Specialist
120 NEW YORK AVE, SUITE 1W
HUNTINGTON, NY 11743
Suffolk County (631) 385-9377
CYNTHIA A HOEY
Internal Medicine (Infectious Disease)
120 NEW YORK AVE, SUITE 5W
HUNTINGTON, NY 11743
Suffolk County (631) 423-9809
DR. NINA NASREEN GREIF D.O.
Psychiatry & Neurology (Psychiatry)
120 NEW YORK AVE, STE 6W
HUNTINGTON, NY 11743
Suffolk County (516) 578-6104
DR. ANNE C SACKS-BERG M.D.
Internal Medicine (Hospice and Palliative Medicine)
120 NEW YORK AVE, SUITE 5W
HUNTINGTON, NY 11743
Suffolk County (631) 423-9809
MS. MIHAELA ELENA PARVU M.D.
Internal Medicine
120 NEW YORK AVE, SUITE 5W
HUNTINGTON, NY 11743
Suffolk County (631) 423-9809
DR. DONNA MARIE SCHNEIDER M.D.
Obstetrics & Gynecology
120 NEW YORK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-3766
FUENTES COSMETIC FACILITY, INC.
Clinic/Center (Ambulatory Surgical)
120 NEW YORK AVE, STE. 1W
HUNTINGTON, NY 11743
Suffolk County (631) 385-9377
LONG ISLAND INFECTIOUS DISEASE ASSOCIATES, P.C.
Internal Medicine (Infectious Disease)
120 NEW YORK AVE, SUITE 5W
HUNTINGTON, NY 11743
Suffolk County (631) 423-9809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candido Fuentes's NPI number?

The NPI number for Candido Fuentes is 1063590230. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Candido Fuentes located?

Candido Fuentes practices at 120 New York Ave 1W, Huntington, NY 11743. The listed phone number is (631) 385-9377.

What is Candido Fuentes's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Candido Fuentes enrolled in Medicare?

No. Candido Fuentes has opted out of Medicare through May 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Candido Fuentes was last updated on October 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.