Individual provider Active NPI

Maharukh R Patell, MD

  • Ophthalmology Physician
  • North Babylon, NY
National Provider Identifier
1023063617
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
171554 Issued in NY
Practice address
300 Bay Shore Rd
North Babylon, NY 11703-2823
Phone
(631) 586-2700
Fax
(631) 586-3524
NPI assigned
May 23, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 171554 NY Primary

Addresses

Primary practice location

300 Bay Shore Rd
North Babylon, NY 11703-2823

Mailing address

1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880

Other identifiers 1

IdentifierTypeStateIssuer
01374712MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
171554NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Long Island Medical Group, P.C. Ophthalmology Current Accepting new patients

Locations

1000 Zeckendorf Blvd
Garden City South, NY 11530
Phone (516) 542-5500

350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

260 W Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 791-4600

70 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 825-3600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023063617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302133",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAY SHORE RD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117032823",
            "telephone_number": "631-586-2700",
            "fax_number": "631-586-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATELL",
        "first_name": "MAHARUKH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "171554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01374712",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.