Dr. Fazeli & Dr. Broumand LLC
NPI 1336235639 · Dermatology Physician · Fayetteville, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dr. Fazeli & Dr. Broumand LLC is a Dermatology Physician organization in Fayetteville, NY (NPI 1336235639).
Provider details
- NPI number
- 1336235639
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amin Fazeli, President(315) 663-0100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is Dr. Fazeli & Dr. Broumand LLC's NPI number?
- Dr. Fazeli & Dr. Broumand LLC's National Provider Identifier (NPI) is 1336235639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Fazeli & Dr. Broumand LLC?
- Dr. Fazeli & Dr. Broumand LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dr. Fazeli & Dr. Broumand LLC located?
- Dr. Fazeli & Dr. Broumand LLC's practice location on file with NPPES is 4110 Medical Center Dr, Fayetteville, NY 13066-6613.
- What is Dr. Fazeli & Dr. Broumand LLC's phone number?
- The practice phone number listed in the NPPES registry for Dr. Fazeli & Dr. Broumand LLC is (315) 663-0100.
- Does Dr. Fazeli & Dr. Broumand LLC accept Medicare?
- Dr. Fazeli & Dr. Broumand LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dr. Fazeli & Dr. Broumand LLC?
- The authorized official listed on Dr. Fazeli & Dr. Broumand LLC's NPPES record is Amin Fazeli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Fazeli & Dr. Broumand LLC's NPI active?
- Yes — Dr. Fazeli & Dr. Broumand LLC's NPI (1336235639) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.