Active NPI
Muhammad Umar Farooq Azam Sr.
- Neurology Physician
- Brooklyn, NY
National Provider Identifier
1083342471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 339687
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 339687 | NY | MD | Neurology 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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1275096570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.