DR. BENJAMIN JUSTIN FAY DO
NPI 1790279966
Emergency Medicine - Hospice and Palliative Medicine in Flushing, NY
About Dr. Benjamin Justin Fay Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN JUSTIN FAY DO (NPI 1790279966) is an individual hospice and palliative medicine provider in Flushing, New York, licensed in New York (315946) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains a secondary practice location in Valley Stream.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin Justin Fay Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Benjamin Fay reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flushing, NY 11355
- Reassigned Medicare billing, New York enrollment
- 645 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 1,067 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MENew York-Presbyterian/Queens
Acute Care Hospitals · Flushing, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FLUSHING, NY 11355
FLUSHING, NY 11355
FLUSHING, NY 11355
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 Benjamin Fay's NPI number?
The NPI number for Benjamin Fay is 1790279966. It was assigned to this individual provider in the NPPES registry on June 20, 2018.
Where is Benjamin Fay located?
Benjamin Fay practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-1507.
What is Benjamin Fay's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207PH0002X.
Is Benjamin Fay enrolled in Medicare?
Yes. Benjamin Fay 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.
Which organizations bill Medicare for Benjamin Fay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Fay reassigns Medicare benefits to 4 organizations: New York Queens Medicine And Surgery, P.C. (Flushing, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Fpa Hospital Based (New York, NY) and Eastern Maine Medical Center (Bangor, ME). Each 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 Benjamin Fay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Fay accept?
Health plans from Anthem Blue Cross and Blue Shield list Benjamin Fay 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.
Is Benjamin Fay affiliated with any hospitals?
According to CMS data, Benjamin Fay is affiliated with Northern Light Eastern Maine Medical Center and New York-Presbyterian/Queens.
When was this NPI record last updated?
The NPPES record for Benjamin Fay was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Benjamin Justin Fay, DO · NPI 1790279966
Hospice and Palliative Medicine physician in Flushing, New York. Individual provider, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1790279966 (Entity type: Individual)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Emergency Medicine - Hospice and Palliative Medicine · taxonomy 207PH0002X
- **State license:** 315946 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5645 MAIN ST, Flushing, NY 11355-5045
- **Phone:** (718) 670-1507
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): New York Queens Medicine And Surgery, P.C. (NPI 1740792233, Flushing, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Fpa Hospital Based (NPI 1427398676, New York, NY); Eastern Maine Medical Center (NPI 1790789147, Bangor, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2018
## Record status
- **NPPES last updated:** July 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790279966) · Data from the CMS NPPES public registry.