Misagh Fasazadeh
NPI 1376177428 · Physician Assistant · Great Neck, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Misagh Fasazadeh is a Physician Assistant provider in Great Neck, NY (NPI 1376177428).
Provider details
- NPI number
- 1376177428
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 025221 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Misagh Fasazadeh's NPI number?
- Misagh Fasazadeh's National Provider Identifier (NPI) is 1376177428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Misagh Fasazadeh's specialty?
- Misagh Fasazadeh is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Misagh Fasazadeh located?
- Misagh Fasazadeh's practice location on file with NPPES is 140 S Middle Neck Rd Apt 2e, Great Neck, NY 11021-3738.
- What is Misagh Fasazadeh's phone number?
- The practice phone number listed in the NPPES registry for Misagh Fasazadeh is (818) 642-4131.
- Does Misagh Fasazadeh accept Medicare?
- Misagh Fasazadeh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Misagh Fasazadeh's NPI active?
- Yes — Misagh Fasazadeh's NPI (1376177428) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.