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FAROQUI MEDICAL PC
NPI 1831720945
Internal Medicine in Patchogue, NY

Active since January 28, 2020
450 WAVERLY AVE, BLDG 2 STE 1, PATCHOGUE, NY 11772(631) 307-9892(631) 569-5229 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Faroqui Medical Pc NPPES

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

FAROQUI MEDICAL PC (NPI 1831720945) is a healthcare organization registered as an internal medicine in Patchogue, New York and active in the NPI registry since January 2020. The organization lists Shazad Zeb, Biller / Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831720945
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAROQUI MEDICAL PC
Location Address450 WAVERLY AVE, BLDG 2 STE 1Patchogue, NY 11772
Mailing Address450 Waverly Ave, Bldg 2 Ste 1Patchogue, NY 11772 · (631) 307-9892 · Fax (631) 569-5229
Phone(631) 307-9892
Fax(631) 569-5229
Organization SubpartNo
Authorized OfficialShazad ZebBiller / Office Manager · (631) 307-9892
Enumeration DateJanuary 28, 2020
✔ NPI 1831720945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
450 WAVERLY AVE, Patchogue, NY 11772
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Faroqui Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Fazal Faroqui, DO
Internal Medicine
NPI 1154351823
450 WAVERLY AVE STE 1
Patchogue, NY 11772
(516) 769-6409
✔ PECOS✔ Accepts MedicareSame address
Michael Matilsky, M.D.
Cardiovascular Disease (Cardiology)
NPI 1558338152
210 N BELLE MEAD RD
East Setauket, NY 11733
(631) 689-1400
✔ PECOS✔ Accepts Medicare8.7 mi
Anthony Theodoris, M.D.
Pulmonary Disease
NPI 1578675971
1500 ROUTE 112 STE B
Port Jefferson Station, NY 11776
(631) 978-7633
✔ PECOS✔ Accepts Medicare9.3 mi
Fahim Qureshi, MD
Psychiatry
NPI 1093785297
333 ST VINCENT SERVICES
Brooklyn, NY 28305
(718) 522-6011
✔ PECOS✔ Accepts Medicare51 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 Faroqui Medical PC's NPI number?

The NPI number for Faroqui Medical PC is 1831720945. It was assigned to this organization in the NPPES registry on January 28, 2020.

Where is Faroqui Medical PC located?

Faroqui Medical PC is located at 450 Waverly Ave Bldg 2 Ste 1, Patchogue, NY 11772. The listed phone number is (631) 307-9892.

What is Faroqui Medical PC's specialty?

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

Is Faroqui Medical PC enrolled in Medicare?

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

How many clinicians bill Medicare through Faroqui Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Faroqui Medical PC, in Cardiovascular Disease (Cardiology), Internal Medicine, Psychiatry and Pulmonary Disease. 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, 1 practice at this address and 3 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 Faroqui Medical PC was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.