FAYROSE FOUAD ABODESHISHA RPA-C
NPI 1245482413
Physician Assistant - Surgical in New York, NY

Active since October 18, 2008PECOS EnrolledAccepts Medicare Assignment
462 1ST AVE, NEW YORK, NY 10016(212) 562-3917 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fayrose Fouad Abodeshisha Rpa-c NPPES

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

FAYROSE FOUAD ABODESHISHA RPA-C (NPI 1245482413) is an individual surgical provider in New York, New York, licensed in New York (23 012911) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hackensack, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1245482413
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameFAYROSE FOUAD ABODESHISHACredential: RPA-C
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address331 Newman Springs Road, Bldg. 2, Suite 220Red Bank, NJ 07701 · (732) 807-0877 · Fax (201) 751-1680
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 18, 2008
Last NPPES UpdateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
NPI 1245482413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 23 012911
462 1ST AVE, New York, NY 10016

Secondary Practice Location 1

Location 120 Prospect Ave Ste 703Hackensack, NJ 07601-1963 · Phone (551) 996-4424 · Fax (551) 996-0831

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Fayrose Fouad Abodeshisha Rpa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012275902
PECOS Enrollment IDI20250109002900
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
Social Worker
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016

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 Fayrose Abodeshisha's NPI number?

The NPI number for Fayrose Abodeshisha is 1245482413. It was assigned to this individual provider in the NPPES registry on October 18, 2008.

Where is Fayrose Abodeshisha located?

Fayrose Abodeshisha practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-3917.

What is Fayrose Abodeshisha's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Fayrose Abodeshisha enrolled in Medicare?

Yes. Fayrose Abodeshisha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Fayrose Abodeshisha accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Fayrose Abodeshisha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fayrose Abodeshisha was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.