Organization Active NPI

Syed Afzal M.D. P.C.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1285829226
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
197001 Issued in NY
Legal business name
SYED AFZAL M.D. P.C.
Practice address
1129 Coney Island Ave
Brooklyn, NY 11230-4711
Phone
(718) 434-5678
Fax
(718) 744-0482
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Syed Afzal, M.D.NPI 1558318550
Title
President
Phone
(718) 434-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 197001 NY Primary

Addresses

Primary practice location

1129 Coney Island Ave
Brooklyn, NY 11230-4711

Mailing address

39 Celano LN
West Islip, NY 11795-5105
Phone (718) 434-5678

Other identifiers 3

IdentifierTypeStateIssuer
01546767MedicaidNY
1558318550OtherNYNPI
197001OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000044 NY Part B Supplier - Clinic/Group Practice 3375704984 Receives reassigned benefits from 1 practitioner
Practice locations: West Islip, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285829226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CELANO LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117955105",
            "telephone_number": "718-434-5678",
            "fax_number": "718-744-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304711",
            "telephone_number": "718-434-5678",
            "fax_number": "718-744-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYED AFZAL M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AFZAL",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-434-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "197001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01546767",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1558318550",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "197001",
            "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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.