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ROSLYN HEIGHTS MEDICAL PC
NPI 1629228523
Clinic/Center - Primary Care in Roslyn Heights, NY

Active since September 26, 2008
114 BARNYARD LN, ROSLYN HEIGHTS, NY 11577(516) 626-7583(516) 626-0924 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roslyn Heights Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSLYN HEIGHTS MEDICAL PC (NPI 1629228523) is a healthcare organization registered as a primary care in Roslyn Heights, New York and active in the NPI registry since September 2008. The organization lists Farzad Shokri Tabibzadeh, President, as its authorized official.

NPPES Registry Identity

NPI1629228523
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameROSLYN HEIGHTS MEDICAL PC
Location Address114 BARNYARD LNRoslyn Heights, NY 11577-2809
Mailing Address114 Barnyard LnRoslyn Heights, NY 11577-2809 · (516) 626-7583 · Fax (516) 626-0924
Phone(516) 626-7583
Fax(516) 626-0924
Organization SubpartNo
Authorized OfficialFarzad Shokri TabibzadehPresident · (516) 626-7583
Enumeration DateSeptember 26, 2008
✔ NPI 1629228523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 194182
114 BARNYARD LN, Roslyn Heights, NY 11577
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING08300NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roslyn Heights Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Roslyn Heights Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Farzad Shokri-Tabibzadeh, M.D.
Family Practice
NPI 1801819180
22 SOUTH MARYLAND AVENUE
Port Washington, NY 11050
(516) 767-2576
✔ PECOS✔ Accepts Medicare5.0 mi
Limor Tabib, RDN
Registered Dietitian or Nutrition Professional
NPI 1124775986
22 S MARYLAND AVE
Port Washington, NY 11050
(516) 767-2576
5.2 mi

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 Roslyn Heights Medical PC's NPI number?

The NPI number for Roslyn Heights Medical PC is 1629228523. It was assigned to this organization in the NPPES registry on September 26, 2008.

Where is Roslyn Heights Medical PC located?

Roslyn Heights Medical PC is located at 114 Barnyard Ln, Roslyn Heights, NY 11577. The listed phone number is (516) 626-7583.

What is Roslyn Heights Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Roslyn Heights Medical PC enrolled in Medicare?

Yes. Roslyn Heights Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roslyn Heights Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Roslyn Heights Medical PC, in Family Practice and Registered Dietitian or Nutrition Professional. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roslyn Heights Medical PC was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.