Organization Active NPI

Farzana H Aziz MD PC

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1831531011
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FARZANA H AZIZ MD PC
Practice address
77 N Broadway
Hicksville, NY 11801-2946
Phone
(516) 605-0688
Fax
(516) 605-0687
NPI assigned
Jul 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Farzana H Aziz, MDNPI 1720015506
Title
Owner
Phone
(516) 605-0688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

77 N Broadway
Hicksville, NY 11801-2946

Mailing address

791 N Corona Ave
Valley Stream, NY 11580-1545
Phone (516) 605-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131031000405 NY Part B Supplier - Clinic/Group Practice 3971738865 Receives reassigned benefits from 1 practitioner
Practice locations: Hicksville, NY; Richmond Hill, NY

National Provider Directory

National Provider Directory

Locations

8611 Lefferts Blvd
Ste 2C
Richmond Hill, NY 11418
Phone (646) 261-0688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1831531011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 N CORONA AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801545",
            "telephone_number": "516-605-0688",
            "fax_number": "516-605-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012946",
            "telephone_number": "516-605-0688",
            "fax_number": "516-605-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZANA H AZIZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "FARZANA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-605-0688",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.