Active NPI
Fizzah Idrees
- Physician Assistant
- Riverhead, NY
National Provider Identifier
1073931069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017477
- Practice address
- 1279 E Main St
Riverhead, NY 11901-2583 - Phone
- (631) 727-2100
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 017477 | NY | Primary |
Addresses
Primary practice location
1279 E Main St
Riverhead, NY 11901-2583
Mailing address
1279 E Main St
Riverhead, NY 11901-2583
Phone (631) 727-2100
Other names 1
- Ms. Fizzah Idrees-Iqbal
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fidreesiqbal268729@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
201 Manor PL
Greenport, NY 11944-1222
Phone (631) 477-2701
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017477 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Winthrop Community Medical Affiliates, P.C. | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Nyumc Radiology Associates | Past | Accepting new patients |
Locations
700 Hicksville Rd
Ste 204
Bethpage, NY 11714
Phone (516) 576-5812
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
1279 E Main St
Riverhead, NY 11901
Phone (631) 727-2100
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Glen Head, NY
- NPI 1841463338
-
- Surgery Physician
- Mineola, NY
- NPI 1649651498
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962513101
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1073931069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1279 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012583",
"telephone_number": "631-727-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012583",
"telephone_number": "631-727-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDREES",
"first_name": "FIZZAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017477",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fidreesiqbal268729@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "1279 E Main St",
"city": "Riverhead",
"state": "NY",
"country_code": "US",
"postal_code": "119012583",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "FIZZAH",
"last_name": "IDREES-IQBAL",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.