DR. CHARLES TIMOTHY FASANYA M.D
NPI 1710149356
Surgery - Surgical Critical Care in Middletown, NY

Q: What is Charles Fasanya's NPI number?

The NPI number for Charles Fasanya is 1710149356. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Charles Fasanya's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Charles Fasanya was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment

707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7575(845) 333-1454 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018, Feb 21, 2018 (3 updates tracked since 2018).

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About Dr. Charles Timothy Fasanya M.d NPPES

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

DR. CHARLES TIMOTHY FASANYA M.D (NPI 1710149356) is an individual surgical critical care provider in Middletown, New York, licensed in New York (254698) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1710149356

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameDR. CHARLES TIMOTHY FASANYACredential: M.D

Location Address707 E MAIN STMiddletown, NY 10940-2650

Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-1114 · Fax (845) 333-2645

Phone(845) 333-7575

Fax(845) 333-1454

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 25, 2008

Last NPPES UpdateApril 2, 20183 updates tracked since enumeration

✔ NPI 1710149356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in NY · 254698

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 25MA08347800 (NJ)

707 E MAIN ST, Middletown, NY 10940

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Secondary Practice Location 1

Location 1256 Mason Ave, Bldg B, 2nd FloorStaten Island, NY 10305-3408 · Phone (718) 226-6260

Other Identifiers 3

Medicaid0181781NJ

Other254698NY · New York State License

Other25MA08347800NJ · Medical License

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

Dr. Charles Timothy Fasanya M.d 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 ID8729143698

PECOS Enrollment IDI20091022000182

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

220 services159 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

160 services76 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

114 services79 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

57 services57 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

28 services28 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Chsli St Joseph Hospital

Acute Care Hospitals · Bethpage, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330332

Location4295 Hempstead TurnpikeBethpage, NY 11714 · Nassau County

Emergency services

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.

KRASSIMIR ATANASSOV MD

Surgery (Surgical Critical Care)