Individual provider Active NPI

Ramsey John Fakhuri, MD

  • Internal Medicine Physician
  • Sunnyside, NY
National Provider Identifier
1215992177
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
175168 Issued in NY
Practice address
4415 43Rd Ave Apt C1
Sunnyside, NY 11104-2254
Phone
(718) 472-3870
Fax
(718) 472-4060
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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 175168 NY Primary

Addresses

Primary practice location

4415 43Rd Ave Apt C1
Sunnyside, NY 11104-2254

Mailing address

41 Walnut Ave
East Norwich, NY 11732
Phone (516) 922-4029

Other identifiers 1

IdentifierTypeStateIssuer
01410553MedicaidNY

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
I20100208000133 NY Practitioner - Internal Medicine 4587707955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175168NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R Zuckman, M.D., P.C. Past Accepting new patients
New York Rehabilitation Care Management , LLC Past Accepting new patients
Wellwood Medical PC Internal Medicine Past Accepting new patients

Organizations & group practices 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1215992177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WALNUT AVE",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "11732",
            "telephone_number": "516-922-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 43RD AVE APT C1",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042254",
            "telephone_number": "718-472-3870",
            "fax_number": "718-472-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHURI",
        "first_name": "RAMSEY",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "175168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01410553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

Verify at the official NPI Registry.