Individual provider Active NPI

Antoine Azar, M.D.

  • Nephrology Physician
  • Syracuse, NY
National Provider Identifier
1407019730
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
270249 Issued in NY
Practice address
1304 Buckley Road
Suite 200
Syracuse, NY 13212-4317
Phone
(315) 478-3311
Fax
(315) 476-5211
NPI assigned
Jul 7, 2008
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 270249 NY Primary

Addresses

Primary practice location

1304 Buckley Road
Suite 200
Syracuse, NY 13212-4317

Mailing address

1304 Buckley Rd Ste 200
Syracuse, NY 13212-4317
Phone (315) 478-3311

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008000063 NY Practitioner - Internal Medicine 6709010747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Syracuse, P.C.Group PAC ID 2769379015, 13 clinicians

Practice addresses (Care Compare)

1304 Buckley Rd
Suite 200
Syracuse, NY 13212-4317
Phone (315) 478-3311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Syracuse, P.C. Nephrology CurrentSince Oct 1, 2016 Accepting new patients

Locations

1304 Buckley Rd
Syracuse, NY 13212
Phone (315) 478-3311

1304 Buckley Rd
Ste 200
Syracuse, NY 13212
Phone (315) 478-3311

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1407019730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124317",
            "telephone_number": "315-478-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY ROAD",
            "address_2": "SUITE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124317",
            "telephone_number": "315-478-3311",
            "fax_number": "315-476-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "ANTOINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "270249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.