LARA MADONIA FABISH RN, CRNP
NPI 1962776328
Nurse Practitioner - Pediatrics in Bronx, NY
About Lara Madonia Fabish Rn, Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARA MADONIA FABISH RN, CRNP (NPI 1962776328) is an individual pediatrics provider in Bronx, New York, licensed in New York (382634) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lara Madonia Fabish Rn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lara Fabish reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRONX, NY 10467
BRONX, NY 10467
BRONX, NY 10467
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 Lara Fabish's NPI number?
The NPI number for Lara Fabish is 1962776328. It was assigned to this individual provider in the NPPES registry on March 2, 2012.
Where is Lara Fabish located?
Lara Fabish practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 741-2342.
What is Lara Fabish's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Lara Fabish enrolled in Medicare?
Yes. Lara Fabish is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lara Fabish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lara Fabish reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Lara Fabish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lara Fabish was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lara Madonia Fabish, RN, CRNP · NPI 1962776328
Pediatrics physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since March 2, 2012.
## Identity
- **NPI:** 1962776328 (Entity type: Individual)
- **Enumerated:** March 2, 2012
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 382634 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3415 BAINBRIDGE AVE, Bronx, NY 10467-2403
- **Phone:** (718) 741-2342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Montefiore Medical Center (NPI 1063525152, Bronx, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1962776328) · Data from the CMS NPPES public registry.