Igor R Faiz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018307 Issued in NY

Practice address

3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005

Phone

(855) 201-4988

NPI assigned

Jul 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77186
• FHIR API: https://fhir4.healow.com/fhir/r4/BHHDBA
• Direct secure messaging: ifaiz@landmarkhealth-direct.org

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.

• Concerto Care Medical Group of New York, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Buffalo, NY
  • NPI 1720805963
  Medicare reassignment
• Comprehensive Pain Management and Spine Care, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
  • NPI 1346714664
  NPD (past)
• Comprehensive Pain Management-Anesthesia Services, P.C.

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1174661722
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1427464486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 5TH AVE",
            "address_2": "STE 1902",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034301",
            "telephone_number": "646-602-8030",
            "fax_number": "646-602-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARCUS AVE STE 2W15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421005",
            "telephone_number": "855-201-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Maiden Ln",
            "address_2": "Suite 1206",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100384810",
            "country_code": "US",
            "telephone_number": "212-995-6495",
            "fax_number": "212-844-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIZ",
        "first_name": "IGOR",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056945",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003325",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle C Ezzo, PHARM.D.
• Marilyn Fabbri, M.D.
• Fabiola Milord, DDS, MPH, PLLC
• Mirit A Fahim, PHARMD
• David A Faitell, MD
• Alefiya Faizullabhoy, MBA, MS,RD, CDE,CDN
• Joshua Falescky, MD
• Adam Faletsky
• Katarzyna Falkowska, DO
• Nicole Ann Falkowski, OTR/L

• Physician Assistant in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.

Verify at the official NPI Registry.