Individual provider Active NPI

Afreen Tariq-Fazili, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1780826743
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
270747 Issued in NY
Practice address
2337 Ridgeway Ave
Rochester, NY 14626
Phone
(585) 225-6680
Fax
(585) 225-3472
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 270747 NY Primary

Addresses

Primary practice location

2337 Ridgeway Ave
Rochester, NY 14626

Mailing address

2337 Ridgeway Ave
Rochester, NY 14626-4111
Phone (585) 225-6680

Other practice location 1

120 Erie Canal Dr
Suit 200
Rochester, NY 14626-4607
Phone (585) 225-6680 ext. 5

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
I20130920000013 NY Practitioner - Obstetrics/Gynecology 0446494074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greece Obstetrics and Gynecology Group LLPGroup PAC ID 9234291360, 5 clinicians

Practice addresses (Care Compare)

2337 Ridgeway Ave
Rochester, NY 14626-4111
Phone 58522566806

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270747NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Nov 25, 2022 Accepting new patients
Greece Obstetrics and Gynecology Group LLP Obstetrics & Gynecology CurrentSince Jul 15, 2013 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Nov 25, 2022 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology Current Accepting new patients
Western New York Medical Practice P.C. CurrentSince Nov 25, 2022 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology CurrentSince Nov 25, 2022 Accepting new patients

Locations

120 Erie Canal Dr
Ste 200
Rochester, NY 14626
Phone (585) 225-6680

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 6

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1780826743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264111",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Erie Canal Dr",
            "address_2": "Suit 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264607",
            "country_code": "US",
            "telephone_number": "585-225-6680 x5",
            "fax_number": "585-225-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARIQ-FAZILI",
        "first_name": "AFREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "270747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.