Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DANIELLE FAXON
NPI 1861319501
Physician Assistant in Corona, NY

Active since July 02, 2026
3712 108TH ST, CORONA, NY 11368(718) 651-4000 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2026, Jul 14, 2026 (2 updates tracked since 2026).

About Danielle Faxon NPPES

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

DANIELLE FAXON (NPI 1861319501) is an individual physician assistant in Corona, New York, licensed in New York (036263) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1861319501
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE FAXON
Location Address3712 108TH STCorona, NY 11368-2025
Mailing Address3712 108th StCorona, NY 11368-2025 · (718) 651-4000
Sole ProprietorNo
Enumeration DateJuly 2, 2026
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
NPI 1861319501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 036263
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3712 108TH ST, Corona, NY 11368

Other Providers at the Same Location NPPES 17

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

Radiologic Technologist (Sonography)
3712 108TH ST
CORONA, NY 11368
Radiologic Technologist (Radiography)
3712 108TH ST
CORONA, NY 11368
Pediatrics
3712 108TH ST
CORONA, NY 11368
Nurse Practitioner (Family)
3712 108TH ST
CORONA, NY 11368
Physician Assistant
3712 108TH ST
CORONA, NY 11368
Nutritionist
3712 108TH ST
CORONA, NY 11368
Family Medicine
3712 108TH ST
CORONA, NY 11368
Physician Assistant
3712 108TH ST
CORONA, NY 11368

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 Danielle Faxon's NPI number?

The NPI number for Danielle Faxon is 1861319501. It was assigned to this individual provider in the NPPES registry on July 2, 2026.

Where is Danielle Faxon located?

Danielle Faxon practices at 3712 108th St, Corona, NY 11368. The listed phone number is (718) 651-4000.

What is Danielle Faxon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Danielle Faxon was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.