CMS-1500 Box 24J / 33a • NPI
1245482413
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AS0400X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical
Box 32 Service Location & ZIP+4
462 1ST AVE, NEW YORK, NY, 10016-9196
✓ 9-Digit EDI 837 ZIP+4 (10016-9196)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245482413 (FAYROSE FOUAD ABODESHISHA, RPA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1245482413)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Mounjaro Tirzepatide | 13 | <11 |
| Wegovy Semaglutide | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245482413 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | FAYROSE FOUAD ABODESHISHA, RPA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical NUCC Code: 363AS0400X (Physician Assistant, Surgical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 462 1ST AVE, NEW YORK, NY, 10016-9196 |
| Practice Telephone / Fax | Tel: (212) 562-3917 |
| Administrative Mailing Address | 331 NEWMAN SPRINGS ROAD, RED BANK, NJ, 07701 |
| Enumeration & Last Sync | Enumerated: 2008-10-18 | CMS Record Updated: 2025-01-06 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363AS0400X)
What Does Taxonomy Code 363AS0400X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AS0400X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (FAYROSE FOUAD ABODESHISHA, RPA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AS0400X — Physician Assistant, SurgicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical | State: NY | License: 23 012911 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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