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CORDELL JOSEPH FONTANA
NPI 1417806829
Physician Assistant in Merrick, NY

Active since January 27, 2026PECOS Enrolled
1728 SUNRISE HWY, MERRICK, NY 11566(516) 279-3352 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cordell Joseph Fontana NPPES

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

CORDELL JOSEPH FONTANA (NPI 1417806829) is an individual physician assistant in Merrick, New York and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1417806829
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCORDELL JOSEPH FONTANA
Location Address1728 SUNRISE HWYMerrick, NY 11566-3745
Mailing Address18 Maple DrLindenhurst, NY 11757-1308 · (516) 302-5930
Phone(516) 279-3352
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 27, 2026
NPPES CertifiedJanuary 27, 2026
✔ NPI 1417806829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1728 SUNRISE HWY, Merrick, NY 11566
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cordell Joseph Fontana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537639695
PECOS Enrollment IDI20260529001304
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

SERGIO EDUARDO FLORES MD
Orthopaedic Surgery (Sports Medicine)
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 279-3352
MS. ASHLEY ELIZABETH LEAK LEVINE PA-C
Physician Assistant
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 536-2800
JAMIE ILENE KLEIN PA-C
Physician Assistant
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 218-6789
MAXIMILLIAN PHILLIP GANZ DO
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 279-3352
BRIANNA LYNN METZGER BELSON
Physician Assistant
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 234-6158
ANDREW KAPLAN PA
Physician Assistant
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 536-2800
CAROLINE JANE HERRERA PA-C
Physician Assistant
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 536-2800
SAMANTHA GALU
Physician Assistant
1728 SUNRISE HWY
MERRICK, NY 11566
Nassau County (516) 536-2800

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 Cordell Fontana's NPI number?

The NPI number for Cordell Fontana is 1417806829. It was assigned to this individual provider in the NPPES registry on January 27, 2026.

Where is Cordell Fontana located?

Cordell Fontana practices at 1728 Sunrise Hwy, Merrick, NY 11566. The listed phone number is (516) 279-3352.

What is Cordell Fontana's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cordell Fontana enrolled in Medicare?

Yes. Cordell Fontana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cordell Fontana was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.