NPIMap

Individual provider Active NPI

Robert G Fafalak, MD

  • Rheumatology Physician
  • New York, NY
National Provider Identifier
1982683041
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
175702 Issued in NY
Practice address
36 W 9TH St Apt 1
New York, NY 10011-8979
Phone
(212) 933-0072
Fax
(212) 452-1981
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 175702 NY Primary

Addresses

Primary practice location

36 W 9TH St Apt 1
New York, NY 10011-8979

Mailing address

36 W 9TH St Apt 1
New York, NY 10011-8979
Phone (917) 364-9398

Other identifiers 1

IdentifierTypeStateIssuer
01194027MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000693 NY Practitioner - Rheumatology 5890826184 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

36 W 9TH St
1St FL
New York, NY 10011-8979
Phone (917) 414-4151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as individual
Quality
91.26
Improvement activities
40
Cost
79.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn F. Schwartz MD PC Rheumatology PastSince Sep 9, 2010 Accepting new patients

Organizations & group practices 1

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1982683041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W 9TH ST APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118979",
            "telephone_number": "917-364-9398",
            "fax_number": "212-452-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 9TH ST APT 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118979",
            "telephone_number": "212-933-0072",
            "fax_number": "212-452-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAFALAK",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "175702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01194027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.