NPIMap

Individual provider Active NPI

Mazan Rabadi, M.D.

  • Internal Medicine Physician
  • Yonkers, NY
National Provider Identifier
1235174194
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206163 Issued in NY
Practice address
2 Park Ave
Yonkers, NY 10703-3402
Phone
(914) 964-7862
Fax
(914) 964-7902
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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 206163 NY Primary

Addresses

Primary practice location

2 Park Ave
Yonkers, NY 10703-3402

Mailing address

77 Pondfield Rd
Bronxville, NY 10708-3809
Phone (914) 965-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000368 NY Practitioner - Internal Medicine 6406836550 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bronxville Internal Medicine PCGroup PAC ID 8820196306, 5 clinicians

Practice addresses (Care Compare)

1561 Westchester Ave
Bronx, NY 10472-2912
Phone (718) 328-6200

77 Pondfield Rd
Suite 2
Bronxville, NY 10708-3809
Phone (914) 771-9286

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC CurrentSince Nov 1, 2022 Accepting new patients
Bronxville Internal Medicine PC Internal Medicine Current Accepting new patients
Bronxville Internal Medicine PC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Symphony Medical PC Current Accepting new patients
Symphony Medical PC CurrentSince Nov 1, 2022 Accepting new patients
SJR Medical, PC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Lifeline Medical Testing PLLC Past Accepting new patients
Montefiore New Rochelle Hospital Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Ralex Services Inc. Past Accepting new patients

Locations

1561 Westchester Ave
Bronx, NY 10472
Phone (718) 328-6200

77 Pondfield Rd
Ste 2F3A
Bronxville, NY 10708
Phone (914) 771-9286

77 Pondfield Rd
Bronxville, NY 10708
Phone (914) 337-2102

77 Pondfield Rd
Ste 2
Bronxville, NY 10708
Phone (914) 337-6755

2 Park Ave
Yonkers, NY 10703
Phone (914) 964-7300

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Networks

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

Interoperability endpoints

  • Direct secure messaging: mer9097@direct.nyp.org
  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glen Island Center for Nursing & RehabilitationNew Rochelle, NY, CCN 335611 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2016
Feb 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ralex Services Inc.

    dba Glen Island Care Center

    • Nursing Facility/Intermediate Care Facility
    • New Rochelle, NY
    • NPI 1386660884

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 10

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1235174194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PONDFIELD RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083809",
            "telephone_number": "914-965-5919",
            "fax_number": "914-965-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107033402",
            "telephone_number": "914-964-7862",
            "fax_number": "914-964-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABADI",
        "first_name": "MAZAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.