Individual provider Active NPI

Afroz Pervin, M.D

  • Internal Medicine Physician
  • Rego Park, NY
National Provider Identifier
1215127170
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
245333 Issued in NY
Practice address
9712 63Rd Dr
Suite # Ca
Rego Park, NY 11374-2243
Phone
(718) 830-3388
Fax
(718) 559-4826
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 245333 NY Primary

Addresses

Primary practice location

9712 63Rd Dr
Suite # Ca
Rego Park, NY 11374-2243

Mailing address

9712 63Rd Dr
Suite # Ca
Rego Park, NY 11374-2243
Phone (718) 830-3388

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000520 NY Practitioner - Internal Medicine 6507950052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All People'S Diagnostic Medical Care, P.C. Internal Medicine Past Accepting new patients
Mark Russell MD PC Internal Medicine PastSince May 26, 2006 Accepting new patients
Total Rehab and Physical Therapy PC Past Accepting new patients
CMM Hasan, Physician Past Accepting new patients
Maspeth Roura Medical Care PC Internal Medicine Past Accepting new patients
Island Allergy & Asthma PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1215127170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 63RD DR",
            "address_2": "SUITE # CA",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742243",
            "telephone_number": "718-830-3388",
            "fax_number": "718-559-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 63RD DR",
            "address_2": "SUITE # CA",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742243",
            "telephone_number": "718-830-3388",
            "fax_number": "718-559-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVIN",
        "first_name": "AFROZ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.