Abul Azad, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

019469 Issued in NY

Practice address

29 Newkirk PLZ
Brooklyn, NY 11226-6525

Phone

(718) 434-7545

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Borough Heart & Vascular Care P.C

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1609236637
  NPD (past)
• Geo Medical Care PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1487655031
  NPD (past)

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1154789873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NEWKIRK AVE",
            "address_2": "1FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301405",
            "telephone_number": "718-688-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NEWKIRK PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266525",
            "telephone_number": "718-434-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAD",
        "first_name": "ABUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elina Ayzman, SLP-CCC
• Az Den LLC
• Az Family Health NP P C
• Aza Home Health Care Inc.
• Aza Home Health Care LLC
• Tareq Azad, M.D.
• Maria Azaeva, FNP
• Ammara Azam
• Anjum Azam, MD
• Asma Azam

• Medical Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.