Marley Jane Fanning
Physician Assistant · New York, NY
Marley Jane Fanning is a physician assistant with a practice address in New York, New York, and NPI 1093685059, issued on Nov 6, 2025. Check the license (New York 034650, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Marley Jane Fanning
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 034650 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1901 1St Ave Ste 12A19, New York, NY 10029
- Phone
- (212) 423-6262
- Enumerated
- Nov 6, 2025
- Record last updated
- Nov 6, 2025
- Medicare enrollment
- Enrolled (PECOS I20260305000023); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Verify Marley Jane Fanning in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 034650Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Physician Affiliate Group OF New York PCNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marley Jane Fanning among 15,555 physician assistant records in New York
Marley Jane Fanning is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 89% of them.
- NPI issued2025 · 89% of these records are older, 4% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2025 · median 2018 among the 8,158 with a school on file
- Record last updated2025 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
3,108 physician assistant records list a practice address in New York
They are 3,108 of the 98,468 NPPES records with a practice address in New York, and 15,555 physician assistant records in New York.
All 15,555 in New York → Every provider in New York → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Rafael BuenoNew York, NY 100291528114790
- Paola Degregorio, P.A.New York, NY 100291720147085
- Jeremy Heinerich, PA-CNew York, NY 100291952457772
- Seungho Lee, PANew York, NY 100291215092713
- Lyudmila Milman, P.A.New York, NY 100291366418352
- David Motamed, RPA-CNew York, NY 100291730265000
- Arianne O'Kane, RPACNew York, NY 100291932284254
- Kamini Patel, PANew York, NY 100291548286529
Common questions
What is Marley Jane Fanning's NPI number?
Marley Jane Fanning's National Provider Identifier (NPI) is 1093685059, issued on Nov 6, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Marley Jane Fanning located?
The NPPES record lists a practice address at 1901 1St Ave Ste 12A19, New York, NY, 10029. Phone: (212) 423-6262. Providers update this record themselves, so call before visiting.
How can I verify Marley Jane Fanning's license?
NPPES lists New York license number 034650, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.