IndividualActive
Nina Fagan
NPI 1124389036 · Specialist · Manorville, NY
Nina Fagan is a Specialist provider in Manorville, NY (NPI 1124389036).
Provider details
- NPI number
- 1124389036
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1766626 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
42 Oceanview Blvd
Manorville, NY 11949-2956
Phone: (516) 356-3716
Street-level locationGet directions
Mailing address
42 Oceanview Blvd
Manorville, NY 11949-2956
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2012-06-06
Frequently asked questions
- What is Nina Fagan's NPI number?
- Nina Fagan's National Provider Identifier (NPI) is 1124389036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nina Fagan's specialty?
- Nina Fagan is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nina Fagan located?
- Nina Fagan's practice location on file with NPPES is 42 Oceanview Blvd, Manorville, NY 11949-2956.
- What is Nina Fagan's phone number?
- The practice phone number listed in the NPPES registry for Nina Fagan is (516) 356-3716.
- Is Nina Fagan's NPI active?
- Yes — Nina Fagan's NPI (1124389036) is active in the NPPES registry as of the last update on 2012-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.