Active NPI
Narek Gagik Bazyan, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1396400925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 027853
- Practice address
- 65 W 36TH St FL 11
Office 11-05
New York, NY 10018 - Phone
- (888) 803-3370
- NPI assigned
- Nov 8, 2021
- Last updated
- Apr 21, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 027853 | NY | Primary |
Addresses
Primary practice location
65 W 36TH St FL 11
Office 11-05
New York, NY 10018
Mailing address
3610 31St St Unit 4C
Astoria, NY 11106-2323
Phone (347) 284-8802
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
156 William St
RM 303
New York, NY 10038-5307
Phone (855) 487-8497
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027853 | NY | MD | Physician Assistant |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- New York, NY
- NPI 1780425447
-
dba Nao Medical
- Family Medicine Physician
- Mineola, NY
- NPI 1770813792
-
dba Nao Medical
- Urgent Care Clinic/Center
- Mineola, NY
- NPI 1336426667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1396400925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 31ST ST UNIT 4C",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062323",
"telephone_number": "347-284-8802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 W 36TH ST FL 11",
"address_2": "OFFICE 11-05",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10018",
"telephone_number": "888-803-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZYAN",
"first_name": "NAREK",
"middle_name": "GAGIK",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-08",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "027853",
"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 Apr 21, 2026; 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.