1. Home
  2. Directory
  3. New York
  4. Bayside
  5. Physician Assistant
  6. NPI Profile

MR. MOHAMMED REEZA FAROZE PA-C
NPI 1649856733
Physician Assistant - Medical in Bayside, NY

Active since March 20, 2021PECOS EnrolledAccepts Medicare Assignment
4211 BELL BLVD, BAYSIDE, NY 11361(212) 385-3700 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Mar 20, 2021 (2 updates tracked since 2021).

About Mr. Mohammed Reeza Faroze Pa-c NPPES

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

MR. MOHAMMED REEZA FAROZE PA-C (NPI 1649856733) is an individual medical provider in Bayside, New York, licensed in New York (026595) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Merrick, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649856733
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MOHAMMED REEZA FAROZECredential: PA-C
Location Address4211 BELL BLVDBayside, NY 11361-2863
Mailing Address4211 Bell BlvdBayside, NY 11361-2863 · (212) 385-3700
Phone(212) 385-3700
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 20, 2021
Last NPPES UpdateMay 16, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1649856733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 026595
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4211 BELL BLVD, Bayside, NY 11361
Open in Google Maps ↗

Secondary Practice Location 1

Location 11613 Merrick RdMerrick, NY 11566-4540 · Phone (516) 548-7061

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mohammed Reeza Faroze Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183152069
PECOS Enrollment IDI20250106001453
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Mohammed Faroze's NPI number?

The NPI number for Mohammed Faroze is 1649856733. It was assigned to this individual provider in the NPPES registry on March 20, 2021.

Where is Mohammed Faroze located?

Mohammed Faroze practices at 4211 Bell Blvd, Bayside, NY 11361. The listed phone number is (212) 385-3700.

What is Mohammed Faroze's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mohammed Faroze enrolled in Medicare?

Yes. Mohammed Faroze is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mohammed Faroze was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.