Active NPI
Faisal Rafiq, MD, PC
- Psychiatry Physician
- Amityville, NY
National Provider Identifier
1003563560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- FAISAL RAFIQ, MD, PC
- Practice address
- 120 Broadway
Suite D
Amityville, NY 11701 - Phone
- (631) 440-1010
- Fax
- (631) 237-5818
- NPI assigned
- Mar 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Faisal Rafig, MD
- Title
- Physician
- Phone
- (631) 440-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
120 Broadway
Suite D
Amityville, NY 11701
Mailing address
120 Broadway
Suite D
Amityville, NY 11701
Phone (718) 924-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271401 | Other | NY | MEDICAL LICENSE |
Other names 1
- Psychvisit
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | billingdepartment@psychvisit.today | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 Broadway
Amityville, NY 11701
Phone (516) 605-7505
120 Broadway
Ste D
Amityville, NY 11701
Phone (631) 440-1010
620 6th St
West Babylon, NY 11704
Phone (631) 440-1010
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Amityville, NY
- NPI 1356237044
-
- Psychiatry Physician
- Amityville, NY
- NPI 1770734238
-
- Physician Assistant
- East Meadow, NY
- NPI 1306661459
-
- Physician Assistant
- Amityville, NY
- NPI 1548074065
-
- Psychiatric/Mental Health Nurse Practitioner
- Hicksville, NY
- NPI 1841036183
-
- Physician Assistant
- Brooklyn, NY
- NPI 1194612721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648166400000",
"number": "1003563560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BROADWAY",
"address_2": "SUITE D",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "11701",
"telephone_number": "718-924-7444",
"fax_number": "516-879-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BROADWAY",
"address_2": "SUITE D",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "11701",
"telephone_number": "631-440-1010",
"fax_number": "631-237-5818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAISAL RAFIQ, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-04",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A",
"authorized_official_last_name": "RAFIG",
"authorized_official_first_name": "FAISAL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "631-440-1010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "271401",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "billingdepartment@psychvisit.today",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "120 Broadway Ste D",
"city": "Amityville",
"state": "NY",
"country_code": "US",
"postal_code": "117012762",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Psychvisit",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Psychvisit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.