Qazi Qaisar Afzal, MD

Individual provider Active NPI Pulmonary Disease Physician · East Patchogue, NY

NPI 1083600670 · NPPES record last updated Nov 28, 2022

Key facts

NPI
1083600670
Entity type
Individual (NPI type 1)
Primary specialty
Pulmonary Disease Physician 207RP1001X
License
1771071 (NY)
Practice address
285 Sills Rd
Building 7, Suite B
East Patchogue, NY 11772-4869
Phone
(631) 654-4577
Fax
(631) 654-3391
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100 (group)
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080206000661 NY Practitioner - Pulmonary Disease
Practitioner - Internal Medicine
7416911706 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1771071NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Current
since Sep 1, 2022
Accepting new patients
New York University Current
since Sep 1, 2022
Accepting new patients

Locations

285 Sills Rd
Bldg 7B
East Patchogue, NY 11772
Phone (631) 654-4577

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 1771071 NY Yes

Addresses

Primary practice location

285 Sills Rd
Building 7, Suite B
East Patchogue, NY 11772-4869

Mailing address

285 Sills Rd
Building 7, Suite B
East Patchogue, NY 11772-4869
Phone (631) 654-4577

Other identifiers

IdentifierTypeStateIssuer
01241056MedicaidNY

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address qafzal504563@nyumc.direct-ci.com

Other providers in East Patchogue, NY

All providers in East Patchogue, NY · Pulmonary Disease Physician in New York

Sources for this page

Verify at the official NPI Registry.