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JAZEB T TARIQ MD
NPI 1831779099
Internal Medicine in Coram, NY

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
82 MIDDLE COUNTRY RD, CORAM, NY 11727(516) 572-6637 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2025, Apr 12, 2021 (2 updates tracked since 2021).

About Jazeb T Tariq Md NPPES

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

JAZEB T TARIQ MD (NPI 1831779099) is an individual internal medicine provider in Coram, New York, licensed in New York (331869) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831779099
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAZEB T TARIQCredential: MD
Location Address82 MIDDLE COUNTRY RDCoram, NY 11727-4460
Mailing Address2201 Hempstead TpkeEast Meadow, NY 11554-1859 · (516) 572-6637
Phone(516) 572-6637
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1831779099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 331869
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
82 MIDDLE COUNTRY RD, Coram, NY 11727
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jazeb T Tariq Md 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 ID8729553789
PECOS Enrollment IDI20260407002282
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.

Medicare Billing Reassignment

Medicare enrollment records show Jazeb Tariq reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sun River Health Inc
49 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11727 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SUSAN HAMILL NP
Nurse Practitioner
82 MIDDLE COUNTRY RD, ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727
Suffolk County (631) 320-2200
CHRISTINA M. FIGUEROA
Dietitian, Registered
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 320-2220
MRS. KATELIN SWAIN PA-C
Physician Assistant
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 320-2220
MRS. JANET AUDREY STONE NP, CNM
Nurse Practitioner
82 MIDDLE COUNTRY RD, ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727
Suffolk County (631) 320-2220
DR. MUHAMMAD UMAID SIDDIQUI MD
Family Medicine
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (844) 400-1975
MILOSLAVA ANDRST MD
Family Medicine
82 MIDDLE COUNTRY RD, ELSIE OWENS NORTH BROOKHAVEN HEALTH CENTER
CORAM, NY 11727
Suffolk County (631) 854-2301
CATHERINE AGYEKUM SAWYER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
82 MIDDLE COUNTRY RD
CORAM, NY 11727
Suffolk County (631) 320-2220
GRETCHEN PACHECO-STABILE DPM
Podiatrist
82 MIDDLE COUNTRY RD, ELSIE OWEN HEALTH CENTER - HRHCARE, INC.
CORAM, NY 11727
Suffolk County (631) 320-2220

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 Jazeb Tariq's NPI number?

The NPI number for Jazeb Tariq is 1831779099. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Jazeb Tariq located?

Jazeb Tariq practices at 82 Middle Country Rd, Coram, NY 11727. The listed phone number is (516) 572-6637.

What is Jazeb Tariq's specialty?

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

Is Jazeb Tariq enrolled in Medicare?

Yes. Jazeb Tariq 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.

Which organization bills Medicare for Jazeb Tariq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazeb Tariq reassigns Medicare benefits to Sun River Health Inc (Bronx, NY). The 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 Jazeb Tariq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jazeb Tariq was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.