Individual provider Active NPI

Faiza Ali, M.D.

  • Family Medicine Physician
  • Coram, NY
National Provider Identifier
1891137360
Registry record updated Aug 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
271435-1 Issued in NY
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

Updated by the provider on Aug 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03875014MedicaidNY

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
I20131016000653 NY Practitioner - Family Practice 0143454686 Reassigns benefits to 1 organization

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
Caremed Primary and Urgent Care PCGroup PAC ID 8224353727, 21 clinicians

Practice addresses (Care Compare)

266 Middle Country Rd
Coram, NY 11727-4425
Phone (631) 698-1111

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • Tender Loving Care, an Amedisys Company Home health agency, Medford, NY, CCN 337260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271435NYMDEmergency Medicine Physician
271435-1NYMDFamily Medicine Physician

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Caremed Primary and Urgent Care PC Family Medicine CurrentSince Nov 4, 2014 Accepting new patients
Chenango Memorial Hospital, Inc. Emergency Medicine Past Accepting new patients
North Shore Lij, Urgent Care, P.C. PastSince Jul 20, 2015 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.