Organization Active NPI

Soheli Anar Azad DDS PC

  • Dentist
  • Jackson Heights, NY
National Provider Identifier
1275925992
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
047363 Issued in NY
Legal business name
SOHELI ANAR AZAD DDS PC
Practice address
7017 37TH Ave FL 1
Jackson Heights, NY 11372-3922
Phone
(718) 672-5050
Fax
(718) 565-5686
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Soheli Anar Azad, D.D.S
Title
Dentist
Phone
(718) 672-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 047363 NY Primary

Addresses

Primary practice location

7017 37TH Ave FL 1
Jackson Heights, NY 11372-3922

Mailing address

9902 220TH St
Queens Village, NY 11429-1614
Phone (718) 672-5050

Other identifiers 1

IdentifierTypeStateIssuer
01831667MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Soheli Anar Azad DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1275925992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9902 220TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291614",
            "telephone_number": "718-672-5050",
            "fax_number": "718-565-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 37TH AVE FL 1",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723922",
            "telephone_number": "718-672-5050",
            "fax_number": "718-565-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHELI ANAR AZAD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "AZAD",
        "authorized_official_first_name": "SOHELI",
        "authorized_official_middle_name": "ANAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-672-5050",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01831667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.