Active NPI
Angela Azar
- Dermatology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 209818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 99.47
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 568 |
| Removal of nail tissue | 11 |
| Skin biopsy | 415 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Azar MD PC | Current | Accepting new patients | |
| For-Med Medical | Past | Accepting new patients | |
| Mehri Songhorian MD PC | Past | Accepting new patients | |
| Advanced Diagnostic Imaging PLLC | Past | Accepting new patients | |
| Schweiger Dermatology PLLC | Dermatology | Past | 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
- 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.
-
- Specialist
- Great Neck, NY
- NPI 1841582079
-
- Diagnostic Radiology Physician
- Jackson Heights, NY
- NPI 1295008688
-
- Legal Medicine
- Long Island City, NY
- NPI 1720194012
-
- Neuromusculoskeletal Medicine & OMM Physician
- Great Neck, NY
- NPI 1932342276
-
- Dermatology Physician
- New York, NY
- NPI 1831438662
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.