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

Dr. Charles Timothy Fasanya, MD

Individual provider Surgery Physician · NPI 1710149356

Dr. Charles Timothy Fasanya, MD is a General Surgery in Middletown, New York. Qualified in 1992, 34 years ago. Practices with Samaritan Emergency Medical Services PC, a 19-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
34
Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

707 E Main St
Middletown, NY 10940-2650
Phone: (845) 333-7575
Fax: (845) 333-1454
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 256 Mason Ave, Staten Island, NY 10305-3408 — (718) 226-6260
  • 256 Mason Ave, Staten Island, NY 10305-3408 — (718) 226-6260

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 254698 (NY)
Surgery Physician Taxonomy 208600000X · Licence 25MA08347800 (NJ)

Record details

NPI number1710149356
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESApril 2, 2018

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Samaritan Emergency Medical Services Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middletown