Individual provider Active NPI

Muhammad Umar Farooq Azam Sr.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1083342471
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
339687 Issued in NY
Practice address
8855 Bay Pkwy Apt 3B
Brooklyn, NY 11214-6422
Phone
(347) 330-1565
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 339687 NY Primary

Addresses

Primary practice location

8855 Bay Pkwy Apt 3B
Brooklyn, NY 11214-6422

Mailing address

8855 Bay Pkwy Apt 3B
Brooklyn, NY 11214-6422
Phone (347) 330-1565

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OBH Health Information Exchange (HIE)

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
I20260609003124 NY Practitioner - Psychiatry 2668943721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1863 76TH St
Suite 11214
Brooklyn, NY 11214-1259

2116 Bath Ave
Brooklyn, NY 11214-4908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
339687NYMDNeurology Physician

Organizations & group practices 1

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1083342471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 BAY PKWY APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146422",
            "telephone_number": "347-330-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 BAY PKWY APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146422",
            "telephone_number": "347-330-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "MUHAMMAD UMAR",
        "middle_name": "FAROOQ",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "339687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OBH",
            "affiliation": "N",
            "endpointDescription": "IFMC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1863 76th St # 11214",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112141259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.