Active NPI
Abdul-Azeem Muritala, MD
- Anesthesiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 311074-01
- Practice address
- 506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215 - Phone
- (718) 780-3279
- Fax
- (845) 790-2675
- NPI assigned
- May 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MD | ||
| Anesthesiology Physician | 207L00000X | 311074-01 | NY | Primary |
Addresses
Primary practice location
506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215
Mailing address
22 Ibm Road Suite 210
Park Slope Anesthesia Associates PC
Poughkeepsie, NY 12601
Phone (866) 868-8416
Other practice location 1
1800 Orleans Street
The Johns Hopkins Hospital
Baltimore, MD 21287
Phone (410) 955-5000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311074-01 | NY | MD | Anesthesiology Physician |
| 311074 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamaica Anesthesiologist, PC | Anesthesiology | Current | Accepting new patients |
| Park Slope Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
Locations
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
22 Ibm Rd
Ste 210
Poughkeepsie, NY 12601
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- amuritala1054763@nychhc.direct-ci.com
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
dba Jamaica Anesthesia Associates, PC
- Anesthesiology Physician
- Jamaica, NY
- NPI 1508812892
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1760468698
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1467800748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 IBM ROAD SUITE 210",
"address_2": "PARK SLOPE ANESTHESIA ASSOCIATES PC",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "866-868-8416",
"fax_number": "845-790-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH STREET",
"address_2": "NY METHODIST HOSPITAL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-780-3279",
"fax_number": "845-790-2675"
}
],
"practiceLocations": [
{
"address_1": "1800 Orleans Street",
"address_2": "The Johns Hopkins Hospital",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "21287",
"country_code": "US",
"telephone_number": "410-955-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURITALA",
"first_name": "ABDUL-AZEEM",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "311074-01",
"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 Oct 13, 2021; 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.