Active NPI
Irwin L Azar, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1104808336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0268111
- Practice address
- 1644 E 14TH St
Brooklyn, NY 11229-1104 - Phone
- (718) 645-3000
- Fax
- (718) 645-4393
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0268111 | NY | Primary |
Addresses
Primary practice location
1644 E 14TH St
Brooklyn, NY 11229-1104
Mailing address
1644 E 14TH St
Brooklyn, NY 11229-1104
Phone (718) 645-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01410168 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0268111 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104808336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1644 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291104",
"telephone_number": "718-645-3000",
"fax_number": "718-645-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1644 E 14TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291104",
"telephone_number": "718-645-3000",
"fax_number": "718-645-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAR",
"first_name": "IRWIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0268111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01410168",
"state": "NY"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.