Individual provider Active NPI

Angela Azar

  • Dermatology Physician
  • Great Neck, NY
National Provider Identifier
1003988718
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
209818 Issued in NY
Practice address
935 Northern Blvd Ste 106
Great Neck, NY 11021-5309
Phone
(516) 482-3496
Fax
(516) 482-3497
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 209818 NY Primary

Addresses

Primary practice location

935 Northern Blvd Ste 106
Great Neck, NY 11021-5309

Mailing address

PO Box 231309
Great Neck, NY 11023-0309
Phone (516) 482-3496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000992 NY Practitioner - Dermatology 3375588981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Icahn School of Medicine at Mount Sinai, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Angela Azar MD PCGroup PAC ID 0143110098, 3 clinicians

Practice addresses (Care Compare)

9211 Roosevelt Ave
Jackson Heights, NY 11372-7941
Phone (718) 424-3001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions568
Removal of nail tissue11
Skin biopsy415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Angela Azar MD PC CurrentSince Jun 26, 2011 Accepting new patients
For-Med Medical Past Accepting new patients
Mehri Songhorian MD PC Past Accepting new patients
Advanced Diagnostic Imaging PLLC PastSince May 16, 2022 Accepting new patients
Schweiger Dermatology PLLC Dermatology PastSince Jan 1, 2017 Accepting new patients

Locations

935 Northern Blvd
Ste 106
Great Neck, NY 11021
Phone (516) 405-0044

287 Northern Blvd
Great Neck, NY 11021
Phone (516) 773-3030

9211 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 424-3001

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: anr9064@direct.nyp.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1003988718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231309",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110230309",
            "telephone_number": "516-482-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD STE 106",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215309",
            "telephone_number": "516-482-3496",
            "fax_number": "516-482-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "209818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.