Individual provider Active NPI

Rahkil Maizel, MD

  • Family Medicine Physician
  • Oakdale, NY
National Provider Identifier
1356532758
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
245449 Issued in NY
Practice address
4568A Sunrise Hwy
Oakdale, NY 11769
Phone
(631) 730-8542
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 245449 NY Primary

Addresses

Primary practice location

4568A Sunrise Hwy
Oakdale, NY 11769

Mailing address

82 Middle Country Rd
Coram, NY 11727-4411
Phone (631) 320-2220

Other practice location 1

365 E Main St
Patchogue, NY 11772-3145
Phone (631) 854-1307

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rmaizel509276@nyumc.direct-ci.com
Direct Messaging Address rmaizel509276@nyumc.direct-ci.com

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
I20071027000033 NY Practitioner - Family Practice 5092802702 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

  • Long Island Community Hospital Hospital, Patchogue, NY, CCN 330141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245449NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates, PC CurrentSince Sep 1, 2018 Accepting new patients
Internal Medicine Associates, PC CurrentSince Sep 1, 2018 Accepting new patients
Sun River Health Inc Current Accepting new patients
New York University CurrentSince Jul 1, 2022 Accepting new patients
New York University CurrentSince Jul 1, 2022 Accepting new patients
Island Urgent Medical Care, P.C. Family Medicine Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

82 Middle Country Rd
Coram, NY 11727
Phone (631) 320-2220

100 Hospital Rd
Ste 217
East Patchogue, NY 11772

100 Hospital Rd
Ste 203
East Patchogue, NY 11772
Phone (631) 475-6900

5499 Route 347
Mount Sinai, NY 11766
Phone (631) 331-3910

4568 Sunrise Hwy
#A
Oakdale, NY 11769
Phone (631) 730-8542

21422 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 347-3500

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1356532758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274411",
            "telephone_number": "631-320-2220",
            "fax_number": "631-698-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568A SUNRISE HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "11769",
            "telephone_number": "631-730-8542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 E Main St",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723145",
            "country_code": "US",
            "telephone_number": "631-854-1307",
            "fax_number": "631-854-1310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIZEL",
        "first_name": "RAHKIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "245449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmaizel509276@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "4568A Sunrise Hwy",
            "city": "Oakdale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmaizel509276@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "365 E Main St",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117723145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

Verify at the official NPI Registry.