Individual provider Active NPI

Montasin Rezwan, MD

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1962064956
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
327028 Issued in NY
Practice address
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone
(718) 869-7000
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 327028 NY Primary

Addresses

Primary practice location

327 Beach 19TH St
Far Rockaway, NY 11691-4423

Mailing address

17012 Highland Ave Apt 402
Jamaica, NY 11432-2783
Phone (346) 302-6561

Other practice location 1

6 Medical Plz
Glen Cove, NY 11542-2108
Phone (516) 656-8000

Other practice location 2

2503 Tratman Ave Apt E23
Bronx, NY 10461-3423
Phone (346) 302-6561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230523000565 PA Practitioner - Internal Medicine 6103282876 Reassigns benefits to 1 organization
I20240226003266 NY Practitioner - Internal Medicine 6103282876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians

Practice addresses (Care Compare)

120 46 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 006-6708

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7000

89 -40
Jamaica, NY 11418-2832
Phone (718) 206-5200

8900 Van Wyck Expressway
Jamaica, NY 11418-2832

8900 Van Wyck Expy
Jamaica, NY 11418-2832

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Internal Medicine CurrentSince May 15, 2025 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
24 On Physicians, PC CurrentSince Jan 24, 2024 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 24, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Jamaica Hospital Past Accepting new patients
Episcopal Health Services Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Jamaica Hospital Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients
St. John's Episcopal Hospital Past Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mrezwan91222@direct.medisys.org
  • Direct secure messaging: mrezwan48776@direct.conemaugh.org

Organizations & group practices 11

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 3

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1962064956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17012 HIGHLAND AVE APT 402",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322783",
            "telephone_number": "346-302-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423",
            "telephone_number": "718-869-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115422108",
            "country_code": "US",
            "telephone_number": "516-656-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2503 Tratman Ave Apt E23",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104613423",
            "country_code": "US",
            "telephone_number": "346-302-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZWAN",
        "first_name": "MONTASIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "327028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.