Organization Active NPI

RF Medical Practice

  • Nephrology Physician
  • South Ozone Park, NY
National Provider Identifier
1225340136
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
237316-1 Issued in NY
Legal business name
RF MEDICAL PRACTICE
Practice address
13405 Rockaway Blvd
South Ozone Park, NY 11420-3020
Phone
(718) 323-9700
Fax
(718) 323-0300
NPI assigned
Jul 8, 2010
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Rabeena Fazal, M.DNPI 1750394391
Title
Physician
Phone
(718) 323-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 237316-1 NY Primary

Addresses

Primary practice location

13405 Rockaway Blvd
South Ozone Park, NY 11420-3020

Mailing address

13405 Rockaway Blvd
South Ozone Park, NY 11420-3020
Phone (718) 323-9700

Other identifiers 1

IdentifierTypeStateIssuer
03328489MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000930 NY Part B Supplier - Clinic/Group Practice 3375722119 Receives reassigned benefits from 1 practitioner
Practice locations: New Hyde Park, NY; South Ozone Park, NY; New York, NY; Jackson Heights, NY; Brooklyn, NY; Bronx, NY; Fresh Meadows, NY

National Provider Directory

National Provider Directory

Locations

13405 Rockaway Blvd
#1
South Ozone Park, NY 11420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1225340136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203020",
            "telephone_number": "718-323-9700",
            "fax_number": "718-323-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203020",
            "telephone_number": "718-323-9700",
            "fax_number": "718-323-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RF MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "FAZAL",
        "authorized_official_first_name": "RABEENA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-323-9700",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "237316-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03328489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.