LARA MADONIA FABISH RN, CRNP
NPI 1962776328
Nurse Practitioner - Pediatrics in Bronx, NY

Q: 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.

Q: What is Lara Fabish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: 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 9 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 March 02, 2012PECOS Enrolled

3415 BAINBRIDGE AVE, BRONX, NY 10467(718) 741-2342 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1962776328

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLARA MADONIA FABISHCredential: RN, CRNP

Location Address3415 BAINBRIDGE AVEBronx, NY 10467-2403

Mailing Address3260 Henry Hudson Pkwy, Apt 3kBronx, NY 10463-3289 · (201) 788-7358

Phone(718) 741-2342

Sole ProprietorYes

Enumeration DateMarch 2, 2012

Last NPPES UpdateOctober 7, 2016

✔ NPI 1962776328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in NY · 382634✔ Licensed in PA · SP011810

3415 BAINBRIDGE AVE, Bronx, NY 10467

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara Madonia Fabish Rn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

MRS. ASHLEY RAE NOBOA MSN, FNP-C

Nurse Practitioner (Family)