Individual provider Active NPI

Rabeena Fazal, MD

  • Nephrology Physician
  • South Ozone Park, NY
National Provider Identifier
1750394391
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
237316 Issued in NY
Practice address
13405 Rockaway Blvd
South Ozone Park, NY 11420-3020
Phone
(718) 323-9700
Fax
(718) 323-0300
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 237316 NY Primary
Internal Medicine Physician 207R00000X 237316 NY

Addresses

Primary practice location

13405 Rockaway Blvd
South Ozone Park, NY 11420-3020

Mailing address

13405 Rockaway Blvd
South Ozone Park, NY 11420-3020
Phone (718) 323-9700

Other identifiers 1

IdentifierTypeStateIssuer
02709222MedicaidNY

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
I20060106000374 NY Practitioner - Nephrology 3274556121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Icahn School of Medicine at Mount Sinai, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13405 Rockaway Blvd
South Ozone Park, NY 11420-3020
Phone (718) 323-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237316NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RF Medical Practice Nephrology CurrentSince Oct 1, 2010 Accepting new patients
Hamid Lalani Medical PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

443 Linden Blvd
Brooklyn, NY 11203
Phone (718) 669-7642

228 Montrose Ave
Brooklyn, NY 11206
Phone (718) 284-7070

4713 Church Ave
Brooklyn, NY 11203
Phone (631) 760-1932

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

13405 Rockaway Blvd
South Ozone Park, NY 11420
Phone (347) 577-6500

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGJABA/Endpoint/AGJABA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1750394391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203020",
            "telephone_number": "718-323-9700",
            "fax_number": "718-323-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203020",
            "telephone_number": "718-323-9700",
            "fax_number": "718-323-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZAL",
        "first_name": "RABEENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "237316",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02709222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.