Active NPI
Mazal Agazarova, PT
- Physical Therapist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032297
- Practice address
- 3003 Avenue X
Apt 5F
Brooklyn, NY 11235-1249 - Phone
- (718) 908-6630
- Fax
- (718) 975-8637
- NPI assigned
- Feb 24, 2010
- Last updated
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 032297 | NY | Primary |
Addresses
Primary practice location
3003 Avenue X
Apt 5F
Brooklyn, NY 11235-1249
Mailing address
3003 Avenue X
Apt 5F
Brooklyn, NY 11235-1249
Phone (718) 908-6630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE# | Other | NY | 032297-1 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 2ND Ave
Brentwood, NY 11717-4809
Phone (631) 273-7204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032297 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Medical PC | Current | Accepting new patients | |
| PT and OT for Senior Rehab at Home PLLC | Physical Therapist | Current | Accepting new patients |
| Peyman Younesi MD PLLC | Current | Accepting new patients | |
| Proactive Occupational Therapy PC | Physical Therapist | Past | Accepting new patients |
| Hands on OT PLLC | Physical Therapist | Past | Accepting new patients |
Locations
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300
171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700
2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295
8008 45th Ave
Ofc
Elmhurst, NY 11373
1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200
8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777
9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 6
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
- Valley Cottage, NY
- NPI 1518637891
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1891053328
-
- Geriatric Physical Therapist
- Brooklyn, NY
- NPI 1811463003
-
- Physical Therapist
- Brooklyn, NY
- NPI 1568714384
-
- Occupational Therapist
- Brooklyn, NY
- NPI 1710383930
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1508188087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 AVENUE X",
"address_2": "APT 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351249",
"telephone_number": "718-908-6630",
"fax_number": "718-975-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 AVENUE X",
"address_2": "APT 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351249",
"telephone_number": "718-908-6630",
"fax_number": "718-975-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAZAROVA",
"first_name": "MAZAL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032297",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "032297-1",
"identifier": "LICENSE#",
"state": "NY"
}
],
"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 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.