ABBYDEK FAMILY MEDICAL PRACTICE PC
NPI 1447535323
Clinic/Center - Primary Care in Richmond Hill, NY
About Abbydek Family Medical Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABBYDEK FAMILY MEDICAL PRACTICE PC (NPI 1447535323), doing business as Emmanuel O Fashakin Md, is a healthcare organization registered as a primary care in Richmond Hill, New York and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through October 26, 2027, maintains 2 additional practice locations, and lists Emmanuel Olusegun Fashakin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Abbydek Family Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Abbydek Family Medical Practice PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 33D0935326
Abbydek Family Medical Practice PC · Flushing, NYFrequently 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 Abbydek Family Medical Practice PC's NPI number?
The NPI number for Abbydek Family Medical Practice PC is 1447535323. It was assigned to this organization in the NPPES registry on October 11, 2011. The provider is doing business as Emmanuel O Fashakin MD.
Where is Abbydek Family Medical Practice PC located?
Abbydek Family Medical Practice PC is located at 10520 Jamaica Ave Fl 1, Richmond Hill, NY 11418. The listed phone number is (718) 849-0702.
What is Abbydek Family Medical Practice PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Abbydek Family Medical Practice PC enrolled in Medicare?
Yes. Abbydek Family Medical Practice PC is registered in the Medicare PECOS enrollment system.
When is Abbydek Family Medical Practice PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Abbydek Family Medical Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Abbydek Family Medical Practice PC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Abbydek Family Medical Practice PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0935326) is associated with this NPI, valid through October 26, 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 Abbydek Family Medical Practice PC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Abbydek Family Medical Practice Pc · NPI 1447535323
Primary Care organization in Richmond Hill, New York. Organization record, active in the CMS NPPES registry since October 11, 2011.
## Identity
- **NPI:** 1447535323 (Entity type: Organization)
- **Enumerated:** October 11, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** EMMANUEL O FASHAKIN MD (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Emmanuel Fashakin, PRESIDENT
## Practice location
- **Address:** 10520 JAMAICA AVE FL 1, Richmond Hill, NY 11418-2013
- **Phone:** (718) 849-0702 · **Fax:** (718) 591-0265
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2026
- **Other identifiers:** Medicaid 01652235 (NY); Other 202847 (NY); Other 339296 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447535323) · Data from the CMS NPPES public registry.