1. Home
  2. Directory
  3. New York
  4. Elmhurst
  5. Nurse Practitioner
  6. NPI Profile

EDWARD FONSECA
NPI 1801675400
Nurse Practitioner - Adult Health in Elmhurst, NY

Active since September 25, 2023PECOS EnrolledAccepts Medicare Assignment
4010 FORLEY ST, ELMHURST, NY 11373(718) 565-6565(718) 565-6999 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Fonseca NPPES

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

EDWARD FONSECA (NPI 1801675400) is an individual adult health provider in Elmhurst, New York, licensed in New York (311410) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1801675400
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameEDWARD FONSECA
Location Address4010 FORLEY STElmhurst, NY 11373-1427
Mailing Address4010 Forley StElmhurst, NY 11373-1427 · (718) 565-6565 · Fax (718) 565-6999
Phone(718) 565-6565
Fax(718) 565-6999
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 25, 2023
Last NPPES UpdateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1801675400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 311410
4010 FORLEY ST, Elmhurst, NY 11373
Open in Google Maps ↗

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

Edward Fonseca 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 ID2163939190
PECOS Enrollment IDI20250725001064
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.

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
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

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

STACY ALLISON DEBARROS P.A.C.
Family Medicine
4010 FORLEY ST
ELMHURST, NY 11373
Queens County (718) 565-6565

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 Edward Fonseca's NPI number?

The NPI number for Edward Fonseca is 1801675400. It was assigned to this individual provider in the NPPES registry on September 25, 2023.

Where is Edward Fonseca located?

Edward Fonseca practices at 4010 Forley St, Elmhurst, NY 11373. The listed phone number is (718) 565-6565.

What is Edward Fonseca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Edward Fonseca enrolled in Medicare?

Yes. Edward Fonseca 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.

Is Edward Fonseca affiliated with any hospitals?

According to CMS data, Edward Fonseca is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Edward Fonseca was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.