Farid Shahkoohi, M.D.
Individual provider Active NPI Internal Medicine Physician · Rockville Centre, NY
NPI 1124024336 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1124024336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 204265 (NY)
- Practice address
- 371 Merrick Rd
Ste 302
Rockville Centre, NY 11570-5301 - Phone
- (516) 678-5555
- Fax
- (516) 678-9128
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Charles a. Mitgang, M.D. P.C.
Rock Medical PC
Practice addresses (Care Compare)
371 Merrick Rd
Suite 407
Rockville Centre, NY 11570-5301
Phone (516) 678-5555
88 -14 Sutphin Blvd 2ND FL
Jamaica, NY 11435-3711
Phone (718) 568-9120
Hospital & facility affiliations
- Emerest Home Health Care of Long Island
- Mt. Sinai at Home
- Catholic Home Care
- Girling Health Care of New York
- Centerwell Home Health
- M J H S Hospice and Palliative Care, Inc
- Long Island Jewish Medical Center
- Mercy Medical Center
- Mount Sinai South Nassau
- St Francis Hospital - the Heart Center
- Mercy Medical Center
- Grandell Rehabilitation And Nu
- Lynbrook Restorative Therapy And Nursing
- Rockville Skilled Nursing & Rehabilitation Center,
- The Grand Rehabilitation and Nursing at South Poin
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050620001001 | NY | Practitioner - Internal Medicine | 1658316773 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 9301 Health Medical Corner PC | Internal Medicine | Current | Accepting new patients |
| Rock Medical PC | Current |
Accepting new patients | |
| South Nassau Communities Hospital | Past | Accepting new patients | |
| Mercy Medical Center | Past | Accepting new patients | |
| Grandell Rehab & Nursing Ctr Inc | Past | Accepting new patients | |
| East Rockaway Center LLC | Past | Accepting new patients | |
| Grand South Point LLC | Past | Accepting new patients | |
| Mercy Medical Services PC | Internal Medicine | Past | Accepting new patients |
Locations
35 Spencer St
Ste 200
Brooklyn, NY 11205
9301 Roosevelt Ave
Jackson Heights, NY 11372
Phone (212) 777-8566
8814 Sutphin Blvd
Fl 2
Jamaica, NY 11435
Phone (718) 568-9120
243 Atlantic Ave
Lynbrook, NY 11563
Phone (516) 599-2744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 204265 | NY | Yes |
Addresses
Primary practice location
371 Merrick Rd
Ste 302
Rockville Centre, NY 11570-5301
Mailing address
371 Merrick Rd
Ste 302
Rockville Centre, NY 11570-5301
Phone (516) 678-5555
Other providers in Rockville Centre, NY
- David Sfass
- Magdy Mahmoud Shaaban
- Alpesh D. Shah
- Anila M Shah
- Sachin N. Shah
- Shane Galan OD PC
- Francine Shanker
- Sandra Sivan Shaoolian
- Cheryl Jennifer Shapiro
- Michael Bennett Shapiro
All providers in Rockville Centre, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.