Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DUSTIN JOHN FANCIULLO
Active
Individual
DUSTIN JOHN FANCIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
14267138-1205
UT
208600000X
Surgery Physician
252553
NY
2086S0129X
Vascular Surgery Physician
Primary
14267138-1205
UT
2086S0129X
Vascular Surgery Physician
Primary
252553-1
NY
Other
Enumeration date
08/21/2008
Last updated
03/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers