Organization Active NPI

Bud Zdorov Physicians PLLC

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1356757066
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
258052 Issued in NY
Legal business name
BUD ZDOROV PHYSICIANS PLLC
Practice address
1811 Quentin Rd
Brooklyn, NY 11229-1343
Phone
(646) 338-4912
Fax
(718) 857-8498
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Ijaz Ahmad, M.D.
Title
Owner
Phone
(646) 338-4912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 258052 NY Primary

Addresses

Primary practice location

1811 Quentin Rd
Brooklyn, NY 11229-1343

Mailing address

70 Old Westbury Rd
Old Westbury, NY 11568-1611
Phone (718) 789-4333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1356757066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 OLD WESTBURY RD",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681611",
            "telephone_number": "718-789-4333",
            "fax_number": "718-857-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291343",
            "telephone_number": "646-338-4912",
            "fax_number": "718-857-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUD ZDOROV PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-338-4912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "258052",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 2, 2014; 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.