Faroqui Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAROQUI MEDICAL PC

Practice address

450 Waverly Ave
BLDG 2 Ste 1
Patchogue, NY 11772

Phone

(631) 307-9892

Fax

(631) 569-5229

NPI assigned

Jan 28, 2020

Organization subpart

No

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

Authorized official

Name

Shazad Zeb

Title

Biller / Office Manager

Phone

(631) 307-9892

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Fazal G Faroqui, DO

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1154351823
  Medicare reassignment NPD
• Michael Alan Matilsky, M.D.

  • Cardiovascular Disease Physician
  • East Setauket, NY
  • NPI 1558338152
  Medicare reassignment
• Fahim U Qureshi, MD

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
  • NPI 1093785297
  Medicare reassignment

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1831720945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE",
            "address_2": "BLDG 2 STE 1",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-307-9892",
            "fax_number": "631-569-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WAVERLY AVE",
            "address_2": "BLDG 2 STE 1",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-307-9892",
            "fax_number": "631-569-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAROQUI MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "ZEB",
        "authorized_official_first_name": "SHAZAD",
        "authorized_official_title_or_position": "BILLER / OFFICE MANAGER",
        "authorized_official_telephone_number": "631-307-9892"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Fain
• Elizabeth Fairless, LPN
• Gina Maria Falese, L.M.S.W.
• Jenny Falter-Souto, RN, BSN
• Family Harmonyand Personal Growth LCSW PC
• Fazal G Faroqui, DO
• Andrew Scott Farrago, D.C.
• Gina Farrell
• Sam M Fassnacht
• Jessica Fatsis, PA-C

• Internal Medicine Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.