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

Individual provider Pediatric Nurse Practitioner · NPI 1255847679

Jessica Fassano, CPNP-BC is a Nurse Practitioner in New Hyde Park, New York. Qualified in 2017, 9 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

26901 76th Ave
New Hyde Park, NY 11040-1433
Phone: (718) 470-3956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F382804-1 (NY)

Record details

NPI number1255847679
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-BC
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESDecember 21, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park