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

Fayrose Fouad Abodeshisha, RPA-C

Individual provider Surgical Physician Assistant · NPI 1245482413

Fayrose Fouad Abodeshisha, RPA-C is a Physician Assistant in New York, New York. Qualified in 2013, 13 years ago. Practices with Hackensack Meridian Health Medical Group - Specialty Care PC, a 1,897-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2008

Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-3917
Show map & directions

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

Additional practice locations (1)

  • 20 Prospect Ave Ste 703, Hackensack, NJ 07601-1963 — (551) 996-4424

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 23 012911 (NY)

Record details

NPI number1245482413
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2008
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Hackensack Meridian Health Medical Group - Specialty Care Pc — 1897 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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