DR. RICHARD ANTHONY FASANELLO DO
NPI 1134210503
Internal Medicine in Newton, NC

Active since September 28, 2006CLIA 34D2091315 · Waiver
105 NORTH MAIN AVE SUITE A-2ND FLOOR, NEWTON, NC 28658(828) 615-7376 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Sep 28, 2015 (2 updates tracked since 2015).

About Dr. Richard Anthony Fasanello Do NPPES

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

DR. RICHARD ANTHONY FASANELLO DO (NPI 1134210503) is an individual internal medicine provider in Newton, North Carolina, licensed in North Carolina (2008-01045) and active in the NPI registry since September 2006. He holds a CLIA Waiver certificate valid through February 10, 2027.

NPPES Registry Identity

NPI1134210503
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD ANTHONY FASANELLOCredential: DO
Location Address105 NORTH MAIN AVE SUITE A-2ND FLOORNewton, NC 28658
Mailing Address105 N Main Ave Ste A2ndNewton, NC 28658-3213 · (828) 615-7376
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1134210503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2008-01045
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
105 NORTH MAIN AVE SUITE A-2ND FLOOR, Newton, NC 28658

Other Identifiers 2

Medicaid5910161NC
Other150F5NC · Bcbs Nc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2091315

Dr Richard A Fasanello · Newton, NC
Active · expires Feb 10, 2027
CLIA Number34D2091315
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorRichard Fasanello
Laboratory Phone(828) 615-7376
Laboratory LocationDr Richard A Fasanello105 A North Main Ave, Newton, NC 28658
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Richard Fasanello's NPI number?

The NPI number for Richard Fasanello is 1134210503. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Richard Fasanello located?

Richard Fasanello practices at 105 North Main Ave Suite A-2nd Floor, Newton, NC 28658. The listed phone number is (828) 615-7376.

What is Richard Fasanello's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Richard Fasanello hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2091315) is associated with this NPI, valid through February 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Richard Fasanello was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.