Active NPI
Ramsey John Fakhuri, MD
- Internal Medicine Physician
- Sunnyside, NY
National Provider Identifier
1215992177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 175168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01410553 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100208000133 | NY | Practitioner - Internal Medicine | 4587707955 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175168 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- Sunnyside, NY
- NPI 1568474278
-
- Skilled Nursing Facility
- Astoria, NY
- NPI 1730248246
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1457454902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.