MATTHEW FASANO
NPI 1992166342
Licensed Practical Nurse in Staten Island, NY

Q: What is Matthew Fasano's NPI number?

The NPI number for Matthew Fasano is 1992166342. It was assigned to this individual provider in the NPPES registry on March 13, 2016.

Q: What is Matthew Fasano's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Fasano was last updated on March 13, 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.

Active since March 13, 2016

47 JEROME AVE, STATEN ISLAND, NY 10305(917) 450-3191 Get Directions Write a Review

NPPES record last updated: March 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew Fasano NPPES

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

MATTHEW FASANO (NPI 1992166342) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (315121) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1992166342

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameMATTHEW FASANO

Location Address47 JEROME AVEStaten Island, NY 10305-3601

Mailing Address47 Jerome AveStaten Island, NY 10305-3601 · (917) 450-3191

Phone(917) 450-3191

Sole ProprietorYes

Enumeration DateMarch 13, 2016

✔ NPI 1992166342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 315121

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

47 JEROME AVE, Staten Island, NY 10305

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Other Providers at the Same Location NPPES

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

ALEXIS FASANO M.A., CCC-SLP

Speech-Language Pathologist

47 JEROME AVE
STATEN ISLAND, NY 10305

Richmond County (917) 681-6324

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 Matthew Fasano's NPI number?

The NPI number for Matthew Fasano is 1992166342. It was assigned to this individual provider in the NPPES registry on March 13, 2016.

Where is Matthew Fasano located?

Matthew Fasano practices at 47 Jerome Ave, Staten Island, NY 10305. The listed phone number is (917) 450-3191.

What is Matthew Fasano's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Matthew Fasano was last updated on March 13, 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.