Organization Active NPI

Mary Z Awad MD PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1033478995
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
262348 Issued in NY
Legal business name
MARY Z AWAD MD PC
Practice address
1435 86TH St
Brooklyn, NY 11228-3435
Phone
(718) 238-4441
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Mary Z Awad, M.D.NPI 1558640516
Title
Medical Doctor/Ceo
Phone
(917) 771-4704

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 262348 NY Primary

Addresses

Primary practice location

1435 86TH St
Brooklyn, NY 11228-3435

Mailing address

276 Merrymount St
Staten Island, NY 10314-4849
Phone (917) 771-4704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000654 NY Part B Supplier - Clinic/Group Practice 0244492288 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Locations

1435 86th St
Ste 1
Brooklyn, NY 11228
Phone (718) 238-4441

1435 86th St
Brooklyn, NY 11228
Phone (718) 238-4441

Practitioners & affiliated clinicians

Practitioners 1

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": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1033478995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 MERRYMOUNT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144849",
            "telephone_number": "917-771-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283435",
            "telephone_number": "718-238-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY Z AWAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/CEO",
        "authorized_official_telephone_number": "917-771-4704",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.