REGO PARK MEDICAL ASSOCIATE,P.C
NPI 1215268669
Clinic/Center - Primary Care in Rego Park, NY
About Rego Park Medical Associate,p.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REGO PARK MEDICAL ASSOCIATE,P.C (NPI 1215268669) is a healthcare organization registered as a primary care in Rego Park, New York and active in the NPI registry since January 2010. The organization lists Gavriel Fuzaylov, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rego Park Medical Associate,p.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rego Park Medical Associate,p.C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rego Park Medical Associate,p.C's NPI number?
The NPI number for Rego Park Medical Associate,p.C is 1215268669. It was assigned to this organization in the NPPES registry on January 26, 2010.
Where is Rego Park Medical Associate,p.C located?
Rego Park Medical Associate,p.C is located at 9851 Queens Blvd Suite 1D, Rego Park, NY 11374. The listed phone number is (718) 897-0327.
What is Rego Park Medical Associate,p.C's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Rego Park Medical Associate,p.C enrolled in Medicare?
Yes. Rego Park Medical Associate,p.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rego Park Medical Associate,p.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Rego Park Medical Associate,p.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rego Park Medical Associate,p.C was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rego Park Medical Associate,p.c · NPI 1215268669
Primary Care organization in Rego Park, New York. Organization record, active in the CMS NPPES registry since January 26, 2010.
## Identity
- **NPI:** 1215268669 (Entity type: Organization)
- **Enumerated:** January 26, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Gavriel Fuzaylov, PRESIDENT
## Practice location
- **Address:** 9851 QUEENS BLVD, SUITE 1D, Rego Park, NY 11374-4362
- **Phone:** (718) 897-0327 · **Fax:** (718) 897-0237
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215268669) · Data from the CMS NPPES public registry.