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GARY A. FANTINI, M.D., PLLC
NPI 1104248517
Specialist in New York, NY

Active since January 21, 2014
535 E 70TH ST, NEW YORK, NY 10021(212) 606-1427(212) 774-7175 Get Directions Write a Review

NPPES record last updated: January 21, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gary A. Fantini, M.d., Pllc NPPES

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

GARY A. FANTINI, M.D., PLLC (NPI 1104248517) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since January 2014. The organization lists Maria Cabeza, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104248517
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGARY A. FANTINI, M.D., PLLC
Location Address535 E 70TH STNew York, NY 10021-4823
Mailing Address535 E 70th StNew York, NY 10021-4823 · (212) 606-1427 · Fax (212) 774-7175
Phone(212) 606-1427
Fax(212) 774-7175
Organization SubpartNo
Authorized OfficialMaria CabezaOffice Manager · (212) 606-1427
Enumeration DateJanuary 21, 2014
✔ NPI 1104248517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 161192-1
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.
535 E 70TH ST, New York, NY 10021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary A. Fantini, M.d., Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gary A. Fantini, M.D., PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gary Fantini, M.D.
Vascular Surgery
NPI 1396741260
535 E 70TH ST
New York, NY 10021
(212) 606-1427
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Gary A. Fantini, M.D., PLLC's NPI number?

The NPI number for Gary A. Fantini, M.D., PLLC is 1104248517. It was assigned to this organization in the NPPES registry on January 21, 2014.

Where is Gary A. Fantini, M.D., PLLC located?

Gary A. Fantini, M.D., PLLC is located at 535 E 70th St, New York, NY 10021. The listed phone number is (212) 606-1427.

What is Gary A. Fantini, M.D., PLLC's specialty?

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

Is Gary A. Fantini, M.D., PLLC enrolled in Medicare?

Yes. Gary A. Fantini, M.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gary A. Fantini, M.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Gary A. Fantini, M.D., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gary A. Fantini, M.D., PLLC was last updated on January 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.