Active NPI
Naomi Azulay, P.T.
- Physical Therapist
- New York, NY
National Provider Identifier
1467592709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006739
- Practice address
- 1550 York Ave
New York, NY 10028-5970 - Phone
- (212) 613-0990
- Fax
- (212) 628-7059
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006739 | NY | Primary |
Addresses
Primary practice location
1550 York Ave
New York, NY 10028-5970
Mailing address
1550 York Ave
New York, NY 10028-5970
Phone (212) 613-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00171 | Other | NY | EMPIRE BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091209000074 | NY | Practitioner - Physical Therapist in Private Practice | 1153460860 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467592709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100285970",
"telephone_number": "212-613-0990",
"fax_number": "212-628-7059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100285970",
"telephone_number": "212-613-0990",
"fax_number": "212-628-7059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZULAY",
"first_name": "NAOMI",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "006739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "Q00171",
"state": "NY"
}
],
"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 Jul 8, 2007; 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.