Individual provider Active NPI

Syed Ali Raza Rizvi, DO

  • Vascular Surgery Physician
  • New York, NY
National Provider Identifier
1578882916
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
288656 Issued in NY
Practice address
506 Lenox Ave
New York, NY 10037-1889
Phone
(212) 939-1000
NPI assigned
May 25, 2010
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 288656 NY Primary

Addresses

Primary practice location

506 Lenox Ave
New York, NY 10037-1889

Mailing address

41 Germantown Rd Ste 101
Danbury, CT 06810-4087
Phone (203) 794-5680

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
I20190401000207 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 9234400714 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Nicholas Professional Medical Services of New York LLCGroup PAC ID 7618231457, 12 clinicians
Bushwick Medical of New York LLCGroup PAC ID 5092068262, 21 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

1264 Saint Nicholas Ave
Suite a
New York, NY 10033-7202
Phone (347) 532-1845

1949 Westchester Ave
Suite C
Bronx, NY 10462-4505
Phone (929) 248-4824

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

441 Knickerbocker Ave
Suite B
Brooklyn, NY 11237-4508
Phone (347) 773-2684

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal12
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2726NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Starrett City Medical of New York LLC Vascular Surgery CurrentSince Aug 26, 2020 Accepting new patients
Pelham Pkwy Professional Medical Services of New York LLC Vascular Surgery CurrentSince Apr 1, 2020 Accepting new patients
Queens Professional Medical Services of New York LLC Vascular Surgery CurrentSince Aug 26, 2020 Accepting new patients
TJH Medical Services, P.C. CurrentSince Jul 8, 2021 Accepting new patients
Pelham Pkwy Medical of New York LLC Vascular Surgery CurrentSince Apr 1, 2020 Accepting new patients
Foxhurst Professional Medical Services of New York LLC Vascular Surgery CurrentSince Apr 1, 2020 Accepting new patients
Jamaica Hospital CurrentSince Jul 8, 2021 Accepting new patients
New York City Healthcare Medical Services LLC Vascular Surgery CurrentSince Jul 7, 2026 Accepting new patients
Harlem Medical Associates PC CurrentSince Mar 18, 2020 Accepting new patients
Mount Sinai School of Medicine Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
Norwood Professional Medical Services of New York LLC Vascular Surgery CurrentSince Jun 1, 2020 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince May 1, 2021 Accepting new patients
Jamaica Hospital CurrentSince Jul 8, 2021 Accepting new patients
Mott Haven Professional Medical of New York LLC Vascular Surgery CurrentSince Jun 1, 2020 Accepting new patients
Mount Sinai School of Medicine Vascular Surgery CurrentSince Feb 1, 2019 Accepting new patients
Bushwick Professional Medical Services of New York LLC Vascular Surgery PastSince Nov 10, 2018 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Apr 1, 2020 Accepting new patients
Valley Stream Professional Medical Services, LLC Vascular Surgery PastSince Jun 20, 2017 Accepting new patients
Washington Heights Medical of New York LLC Vascular Surgery PastSince Aug 13, 2017 Accepting new patients
Syracuse Professional Medical Services of New York LLC Vascular Surgery PastSince Jul 1, 2020 Accepting new patients
Valley Stream Medical of New York, LLC PastSince Jul 18, 2024 Accepting new patients

Locations (25 of 54)

4025 Hempstead Tpke
Ste A
Bethpage, NY 11714
Phone (646) 798-8502

4025 Hempstead Tpke
Ste B
Bethpage, NY 11714
Phone (929) 207-9470

4025 Hempstead Tpke
Ste C
Bethpage, NY 11714
Phone (347) 773-2684

11 E Fordham Rd
Ste A
Bronx, NY 10468
Phone (631) 446-1190

11 E Fordham Rd
Ste B
Bronx, NY 10468
Phone (718) 301-1009

1949 Westchester Ave
Bronx, NY 10462
Phone (347) 773-2684

1949 Westchester Ave
Ste A
Bronx, NY 10462
Phone (929) 254-3405

1949 Westchester Ave
Ste B
Bronx, NY 10462
Phone (929) 248-4824

1949 Westchester Ave
Ste C
Bronx, NY 10462
Phone (929) 248-4824

2157 White Plains Rd
Ste A
Bronx, NY 10462
Phone (347) 532-1845

2157 White Plains Rd
Ste B
Bronx, NY 10462

3485 Jerome Ave
#A
Bronx, NY 10467
Phone (347) 547-3099

384 E 149th St
Ste 201A
Bronx, NY 10455
Phone (844) 723-7240

384 E 149th St
Ste 201B
Bronx, NY 10455
Phone (347) 897-5441

5199 Broadway
Ste A
Bronx, NY 10463
Phone (347) 812-0779

5199 Broadway
Ste C
Bronx, NY 10463
Phone (718) 732-1071

947 Southern Blvd
Ste A
Bronx, NY 10459
Phone (718) 513-5855

947 Southern Blvd
Ste B
Bronx, NY 10459
Phone (718) 513-5855

2444 86th St
Ste C
Brooklyn, NY 11214
Phone (718) 732-1071

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

27 Graham Ave
Ste A
Brooklyn, NY 11206

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

374 Stockholm St
#13202
Brooklyn, NY 11237
Phone (718) 963-6793

441 Knickerbocker Ave
Ste A
Brooklyn, NY 11237
Phone (347) 537-2755

441 Knickerbocker Ave
Ste B
Brooklyn, NY 11237
Phone (347) 773-2684

Networks

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

Interoperability endpoints

  • Direct secure messaging: srizvi1250314@nychhc.direct-ci.com
  • Direct secure messaging: srizvi92086@direct.medisys.org

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1578882916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 GERMANTOWN RD STE 101",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104087",
            "telephone_number": "203-794-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371889",
            "telephone_number": "212-939-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SYED ALI",
        "middle_name": "RAZA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "288656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.