Fazle Showon, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

321826 Issued in NY

Practice address

100 Broadhollow Rd Ste 106
Farmingdale, NY 11735-4813

Phone

(631) 693-6644

NPI assigned

Jun 2, 2021

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Touro Un Col of Osteopathic Medicine, New York, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Medical PCGroup PAC ID 0143610600, 93 clinicians

Medical Services of Northeastern Queens PLLCGroup PAC ID 4587013446, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Medical Services of Northeastern Queens PLLC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1184311441
  Medicare reassignment Care Compare group NPD
• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hicksville Family Medical Care, PLLC

  dba Nao Medical

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1770813792

  Internal Medicine

  Medicare reassignment NPD
• Peyman Younesi MD PLLC

  • Internal Medicine Physician
  • Fresh Meadows, NY
  • NPI 1891053328
  Medicare reassignment NPD
• Statcare Urgent & Walk in Medical Care PLLC

  dba Nao Medical

  • Urgent Care Clinic/Center
  • Mineola, NY
  • NPI 1336426667
  Medicare reassignment NPD
• Cordial Medical, P.C.

  • Infectious Disease Physician
  • Farmingdale, NY
  • NPI 1528512894
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Americare Certified Special Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1770513145
  Care Compare affiliation

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1184290892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROADHOLLOW RD STE 106",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354813",
            "telephone_number": "631-693-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROADHOLLOW RD STE 106",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354813",
            "telephone_number": "631-693-6644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115422108",
            "country_code": "US",
            "telephone_number": "516-656-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115721551",
            "country_code": "US",
            "telephone_number": "347-652-7327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOWON",
        "first_name": "FAZLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "321826",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "321826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Sheehy Jr., RPH
• Sherif Desouky DDS
• Shetty/Chirayil Medical, P.C.
• Liam Francis Shields, LMT
• Akshitaben Dipakbhai Shihora
• Ruby Shridher
• Jessica Shultz
• Samantha Silipo, REGISTERED NURSE
• Silmed Health and Wellness
• Scott Charles Silverman, ED.D.,LMHC

• Internal Medicine Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.

Verify at the official NPI Registry.