Individual provider Active NPI

Ayaz Rasool, MD

  • Urology Physician
  • Forest Hills, NY
National Provider Identifier
1467561043
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
152821 Issued in NY
Practice address
7603 113TH St
Suite M6
Forest Hills, NY 11375-6585
Phone
(718) 268-7262
Fax
(718) 263-6418
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 152821 NY Primary

Addresses

Primary practice location

7603 113TH St
Suite M6
Forest Hills, NY 11375-6585

Mailing address

7603 113TH St
Ste M6
Forest Hills, NY 11375-6585
Phone (718) 268-7262

Other identifiers 1

IdentifierTypeStateIssuer
00763731MedicaidNY

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
I20040713000298 NY Practitioner - Urology 6406834738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

130 E 18TH St
New York, NY 10003-2416
Phone (718) 268-1100

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

7603 113TH St
Forest Hills, NY 11375-6585
Phone (212) 420-1566

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Dynamic, PC Urology CurrentSince Jan 1, 2004 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2021 Accepting new patients
Forest Hills Psychiatric PC PastSince Jan 1, 2004 Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

7603 113th St
Forest Hills, NY 11375
Phone (718) 268-1100

7603 113th St
Ste M6
Forest Hills, NY 11375
Phone (718) 268-1100

7603 113th St
#M6
Forest Hills, NY 11375
Phone (718) 263-3854

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

130 E 18th St
New York, NY 10003
Phone (212) 420-1566

Networks

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

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1467561043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 113TH ST",
            "address_2": "STE M6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756585",
            "telephone_number": "718-268-7262",
            "fax_number": "718-263-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 113TH ST",
            "address_2": "SUITE M6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756585",
            "telephone_number": "718-268-7262",
            "fax_number": "718-263-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOL",
        "first_name": "AYAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "152821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00763731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.