ERIC FANAEE MD PC
NPI 1811548142
Pain Medicine - Interventional Pain Medicine in West Islip, NY

Q: What is Eric Fanaee MD PC's NPI number?

The NPI number for Eric Fanaee MD PC is 1811548142. It was assigned to this organization in the NPPES registry on September 27, 2019.

Q: What is Eric Fanaee MD PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Eric Fanaee MD PC was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 27, 2019

380 MONTAUK HWY, WEST ISLIP, NY 11795(631) 422-5371(631) 893-8012 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2022, Sep 27, 2019 (2 updates tracked since 2019).

On this page

About Eric Fanaee Md Pc NPPES

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

ERIC FANAEE MD PC (NPI 1811548142) is a healthcare organization registered as an interventional pain medicine in West Islip, New York and active in the NPI registry since September 2019. The organization lists Eric Fanaee, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1811548142

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameERIC FANAEE MD PC

Location Address380 MONTAUK HWYWest Islip, NY 11795-4403

Mailing Address380 Montauk HwyWest Islip, NY 11795-4403 · (631) 422-5371 · Fax (631) 893-8012

Phone(631) 422-5371

Fax(631) 893-8012

Organization SubpartNo

Authorized OfficialEric FanaeeDirect Owner · (631) 422-5371

Enumeration DateSeptember 27, 2019

Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1811548142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

380 MONTAUK HWY, West Islip, NY 11795

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Fanaee Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Eric Fanaee MD 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)

Eric Fanaee, MD

Pain Management

NPI 1184945305

380 MONTAUK HWY
West Islip, NY 11795

(631) 422-5371

✔ PECOS✔ Accepts MedicareSame address

Clarence Kong

Emergency Medicine

NPI 1548846140

380 MONTAUK HWY
West Islip, NY 11795

(631) 422-5371

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Eric Fanaee MD PC's NPI number?

The NPI number for Eric Fanaee MD PC is 1811548142. It was assigned to this organization in the NPPES registry on September 27, 2019.

Where is Eric Fanaee MD PC located?

Eric Fanaee MD PC is located at 380 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 422-5371.

What is Eric Fanaee MD PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Eric Fanaee MD PC enrolled in Medicare?

Yes. Eric Fanaee MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eric Fanaee MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eric Fanaee MD PC, in Emergency Medicine and Pain Management. 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.

When was this NPI record last updated?

The NPPES record for Eric Fanaee MD PC was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.