Individual provider Active NPI

Faye Rabinovich, DO

  • Family Medicine Physician
  • Rego Park, NY
National Provider Identifier
1689660854
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219631 Issued in NY
Practice address
9732 63Rd Rd
Rego Park, NY 11374-1639
Phone
(718) 275-2698
Fax
(646) 680-0646
NPI assigned
Sep 23, 2005
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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 219631 NY Primary

Addresses

Primary practice location

9732 63Rd Rd
Rego Park, NY 11374-1639

Mailing address

9945 67TH Rd Ste 103
Forest Hills, NY 11375-3037
Phone (718) 275-2698

Other practice location 1

9725 63rd Dr
Rego Park, NY 11374-2229
Phone (718) 275-2698

Other identifiers 1

IdentifierTypeStateIssuer
01811930MedicaidNY

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
I20080324000616 NY Practitioner - Family Practice 5496771099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ajay 28 LLCGroup PAC ID 9830436328, 16 clinicians
Atlantic Endocrinology and Diabetes PCGroup PAC ID 8325952971, 4 clinicians

Practice addresses (Care Compare)

6860 Austin St
Forest Hills, NY 11375-4245
Phone (718) 997-7100

9725 63Rd Dr
Rego Park, NY 11374-2229
Phone (718) 275-2900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219631NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Endocrinology and Diabetes PC Family Medicine CurrentSince May 1, 2022 Accepting new patients
Medical Help PC CurrentSince May 1, 2011 Accepting new patients
E & a Medical Solutions LLC CurrentSince Nov 6, 2021 Accepting new patients

Locations

6860 Austin St
Ste 10
Forest Hills, NY 11375
Phone (718) 896-4100

9945 67th Rd
Ste 103
Forest Hills, NY 11375
Phone (718) 275-2698

9725 63rd Dr
Rego Park, NY 11374
Phone (718) 271-8185

9732 63rd Rd
Rego Park, NY 11374
Phone (718) 255-1018

Networks

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

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1689660854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9945 67TH RD STE 103",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753037",
            "telephone_number": "718-275-2698",
            "fax_number": "718-275-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 63RD RD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741639",
            "telephone_number": "718-275-2698",
            "fax_number": "646-680-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 63rd Dr",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113742229",
            "country_code": "US",
            "telephone_number": "718-275-2698",
            "fax_number": "718-275-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABINOVICH",
        "first_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01811930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.