Fareeha Ajmal, DO in Port Jefferson, NY - Medicare Internal Medicine

Fareeha Ajmal, DO is a medicare enrolled "Hospitalist" physician in Port Jefferson, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2022 and has 3 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is 75 N Country Rd, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 473-1320.

Fareeha Ajmal is licensed to practice in New York (license number 333529-01) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285375675.

Contact Information

	Fareeha Ajmal, DO
	75 N Country Rd, Port Jefferson, NY 11777-2119
	(631) 473-1320
	Not Available

Map and Direction

Physician's Profile

Full Name	Fareeha Ajmal
Gender	Female
Speciality	Internal Medicine
Experience	3 Years
Location	75 N Country Rd, Port Jefferson, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fareeha Ajmal attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2022

NPI Data:

NPI Number: 1285375675
Provider Enumeration Date: 04/07/2022
Last Update Date: 11/07/2025

Medicare PECOS Information:

PECOS PAC ID: 5092238220
Enrollment ID: I20250328001812

Medical Identifiers

Medical identifiers for Fareeha Ajmal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285375675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	333529-01 (New York)	Secondary
208M00000X	Hospitalist	333529-01 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fareeha Ajmal allows following entities to bill medicare on her behalf.

Entity Name	John T Mather Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376642371 PECOS PAC ID: 1254237753 Enrollment ID: O20040316000754

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fareeha Ajmal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fareeha Ajmal, DO 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 889-2243	Fareeha Ajmal, DO 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320

Reviews and Comments

Hospitalist Doctors in Port Jefferson, NY

Raymond Wong, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654
Dr. Thomas Overholt, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654 Fax: 631-686-7653
Dr. Asim Elahi, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320
Dr. Christopher Rene Tanchez, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 718-616-3000
Javeria Nasim, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7972
Shaheer Ali, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-686-7654
Obiageli Anyaogu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320

Fareeha Ajmal, DO - Medicare Internal Medicine in Port Jefferson, NY