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

Rabeena Fazal, MD

Individual provider Nephrology Physician · NPI 1750394391

Rabeena Fazal, MD is a Nephrology in South Ozone Park, New York. Graduated from Icahn School of Medicine at Mount Sinai in 2002, 24 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

13405 Rockaway Blvd
South Ozone Park, NY 11420-3020
Phone: (718) 323-9700
Fax: (718) 323-0300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 237316 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 237316 (NY)

Record details

NPI number1750394391
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Ozone Park