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

Mr. Joseph S. Fanelli, R-PA-CPHYSICIANAS

Individual provider Medical Physician Assistant · NPI 1184735342

Mr. Joseph S. Fanelli, R-PA-CPHYSICIANAS is a Physician Assistant in Great Neck, New York. Qualified in 2004, 22 years ago. Practices with Vantage Medical Associates PC, a 85-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

192 E Shore Rd
Great Neck, NY 11023
Phone: (516) 487-4500
Fax: (516) 487-7439
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0099421 (NY)

Record details

NPI number1184735342
Entity typeIndividual (Type 1)
GenderMale
Credentials R-PA-CPHYSICIANAS
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESNovember 6, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Vantage Medical Associates Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Great Neck