Active NPI
Soheli Anar Azad DDS PC
- Dentist
- Jackson Heights, NY
National Provider Identifier
1275925992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 047363
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01831667 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Soheli Anar Azad DDS PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Jackson Heights, NY
- NPI 1427302173
-
- Dentist
- Jackson Heights, NY
- NPI 1992059414
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.