Active NPI
Faiza Ali, M.D.
- Family Medicine Physician
- Coram, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 271435-1
- Practice address
- 266 Middle Country Rd
Coram, NY 11727-4425 - Phone
- (631) 698-1111
- Fax
- (631) 698-1195
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 271435-1 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 271435 | NY |
Addresses
Primary practice location
266 Middle Country Rd
Coram, NY 11727-4425
Mailing address
266 Middle Country Rd
Coram, NY 11727-4425
Phone (631) 698-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03875014 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
266 Middle Country Rd
Coram, NY 11727-4425
Phone (631) 698-1111
Hospital & facility affiliations
- Catholic Home Care
- Tender Loving Care, an Amedisys Company
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271435 | NY | MD | Emergency Medicine Physician |
| 271435-1 | NY | MD | Family Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremed Primary and Urgent Care PC | Family Medicine | Current | Accepting new patients |
| Chenango Memorial Hospital, Inc. | Emergency Medicine | Past | Accepting new patients |
| North Shore Lij, Urgent Care, P.C. | Past | Accepting new patients |
Locations
375 E Main St
Ste 26
Bay Shore, NY 11706
Phone (631) 665-2255
266 Middle Country Rd
Coram, NY 11727
Phone (631) 475-3900
765 Route 25A
Ste 6
Miller Place, NY 11764
Phone (631) 320-3200
1 E Roe Blvd
Patchogue, NY 11772
Phone (631) 475-3900
1228 E Main St
Ste C
Riverhead, NY 11901
Phone (631) 603-3400
325 Middle Country Rd
Ste 5
Selden, NY 11784
Phone (631) 244-2930
900 Straight Path
West Babylon, NY 11704
Phone (631) 957-0066
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Patchogue, NY
- NPI 1487050134
Family Medicine
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
Emergency Medicine
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
-
- Home Health Agency
- Medford, NY
- NPI 1699715961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438387200000",
"number": "1891137360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 MIDDLE COUNTRY RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117274425",
"telephone_number": "631-698-1111",
"fax_number": "631-698-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 MIDDLE COUNTRY RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117274425",
"telephone_number": "631-698-1111",
"fax_number": "631-698-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "FAIZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2015-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "271435-1",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "271435",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03875014",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.