Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ronald C Fagan MD PC

Organization Family Medicine Physician · NPI 1134280142

Ronald C Fagan MD PC is a Family Medicine Physician in Little Neck, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

254-41 Horace Harding Expwy
Little Neck, NY 11362
Phone: (718) 224-4100
Fax: (718) 224-4527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 227578 (NY)

Record details

NPI number1134280142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phyllis Nicosia — Office Manager · (631) 752-7000
NPI enumeratedDecember 13, 2006
Last updated in NPPESJanuary 11, 2008
Mailing address1111 Broadhollow Rd, Farmingdale, NY 11735-4820

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