Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mohammed Reeza Faroze, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649856733

Mr. Mohammed Reeza Faroze, PA-C is a Physician Assistant in Bayside, New York. Qualified in 2021, 5 years ago. Practices with Advanced Dermatology PC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Bayside, NY

Additional practice locations (1)

  • 1613 Merrick Rd, Merrick, NY 11566-4540 — (516) 548-7061

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 026595 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1649856733
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 20, 2021
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Dermatology Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Bayside