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FAZLE AZEEM MD
NPI 1760057194
Internal Medicine in Far Rockaway, NY

Active since May 27, 2021
5015 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691(718) 734-2000 Get Directions Write a Review

NPPES record last updated: November 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 22, 2022, Nov 6, 2021, Oct 24, 2021 and 1 more (4 updates tracked since 2021).

About Fazle Azeem Md NPPES

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

FAZLE AZEEM MD (NPI 1760057194) is an individual internal medicine provider in Far Rockaway, New York, licensed in New York (109585-01) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1760057194
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFAZLE AZEEMCredential: MD
Location Address5015 BEACH CHANNEL DRFar Rockaway, NY 11691-1110
Mailing Address40 Dora StStaten Island, NY 10314-2107 · (917) 202-8684
Phone(718) 734-2000
Sole ProprietorYes
Enumeration DateMay 27, 2021
Last NPPES UpdateNovember 3, 20244 updates tracked since enumeration
NPPES CertifiedNovember 3, 2024
✔ NPI 1760057194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 109585-01
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5015 BEACH CHANNEL DR, Far Rockaway, NY 11691
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Other Names 1

Former Name (1)Md Fazle Azeem

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADULT DAY HEALTH CARE
Clinic/Center (Adult Day Care)
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-2548
JASMIN CLYNE
Speech-Language Pathologist
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-2000
VERONICA BERNABE-DIAZ RN
Registered Nurse
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-2000
ADLIN MARCERA
Registered Nurse
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-2000
CARDIFF BAY CENTER LLC
Skilled Nursing Facility
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (718) 734-2000
PENINSULA CONTINUUM SERVICES LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (800) 975-5201
MS. MARY MICHELLE MAY CARMEN ALMODAL
Registered Nurse (Rehabilitation)
5015 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11691
Queens County (631) 748-9327

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 Fazle Azeem's NPI number?

The NPI number for Fazle Azeem is 1760057194. It was assigned to this individual provider in the NPPES registry on May 27, 2021. The provider is also known as MD Fazle Azeem.

Where is Fazle Azeem located?

Fazle Azeem practices at 5015 Beach Channel Dr, Far Rockaway, NY 11691. The listed phone number is (718) 734-2000.

What is Fazle Azeem's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Fazle Azeem was last updated on November 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.