Organization Active NPI

Azure Medical Services PLLC

  • Multi-Specialty Clinic/Center
  • Staten Island, NY
National Provider Identifier
1023980489
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AZURE MEDICAL SERVICES PLLC
Practice address
2691 Hylan Blvd Ste 4
Staten Island, NY 10306-4300
Phone
(347) 517-9584
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Dr. Hanzel A Friday, MDNPI 1215329990
Title
Owner
Phone
(347) 517-9584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2691 Hylan Blvd Ste 4
Staten Island, NY 10306-4300

Mailing address

5510 Fillmore Ave
Brooklyn, NY 11234-4733
Phone (347) 517-9584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204002803 NY Part B Supplier - Clinic/Group Practice 3678066966 Receives reassigned benefits from 2 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2691 Hylan Blvd
Ste 4
Staten Island, NY 10306
Phone (347) 517-9584

2691 Hylan Blvd
Ste 3
Staten Island, NY 10306
Phone (718) 380-0067

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1023980489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 FILLMORE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344733",
            "telephone_number": "347-517-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 HYLAN BLVD STE 4",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064300",
            "telephone_number": "347-517-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "FRIDAY",
        "authorized_official_first_name": "HANZEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-517-9584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.