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

Alexander Fauci, DO

Individual provider Internal Medicine Physician · NPI 1174103790

Alexander Fauci, DO is an Internal Medicine in Bayside, New York. Qualified in 2021, 5 years ago. Practices with Fresh Meadows Physician Practice PLLC, a 33-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3438 Bell Blvd
Bayside, NY 11361-1739
Phone: (631) 512-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 326502 (NY)

Record details

NPI number1174103790
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2021
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address541 S Ocean Ave, Patchogue, NY 11772-3722

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fresh Meadows Physician Practice Pllc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bayside