Active NPI
Omar Philip Azar, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 250311
- Practice address
- 462 1St Ave
4W39
New York, NY 10016-9196 - Phone
- (212) 562-3421
- NPI assigned
- Jan 25, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 250311 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 250311 | NY | Primary |
Addresses
Primary practice location
462 1St Ave
4W39
New York, NY 10016-9196
Mailing address
462 1St Ave
4W39
New York, NY 10016-9196
Phone (212) 562-3421
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111012000730 | NY | Practitioner - Pathology | 3971775180 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathology Consultants of Brooklyn
Practice addresses (Care Compare)
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7010
Hospital & facility affiliations
- Maimonides Medical Center
- New York Community Hospital of Brooklyn, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250311 | NY | MD | Forensic Pathology Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Pathology Consultants of Brooklyn | Current | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
4802 10th Ave
#5
Brooklyn, NY 11219
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 4
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.
-
- Blood Banking & Transfusion Medicine Physician
- Brooklyn, NY
- NPI 1295895787
NY
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Anatomic Pathology & Clinical Pathology, NY
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1215030697
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1265737100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "4W39",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-562-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "4W39",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-562-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAR",
"first_name": "OMAR",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-25",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "NY",
"license": "250311",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "250311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.