Individual provider Active NPI

Edwin Cohen Azarkian, MD

  • Internal Medicine Physician
  • Forest Hills, NY
National Provider Identifier
1609290519
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
298081 Issued in NY
Practice address
111-29 Queens Blvd
Forest Hills, NY 11375
Phone
(516) 457-6644
Fax
(516) 466-7925
NPI assigned
Feb 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 298081 NY
General Acute Care Hospital 282N00000X
Internal Medicine Physician 207R00000X 298081 NY Primary

Addresses

Primary practice location

111-29 Queens Blvd
Forest Hills, NY 11375

Mailing address

One Aspen Place
Great Neck, NY 11021-2810
Phone (516) 457-6644

Other practice location 1

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272 ext. 7585

Other practice location 2

6010 Bay Pkwy Ste 902
Brooklyn, NY 11204-6091
Phone (718) 475-1700

Other practice location 3

445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800

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
I20190521001119 NY Practitioner - Internal MedicinePractitioner - Nephrology 1759683709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Salibs Medical Practice PCGroup PAC ID 8628319852, 4 clinicians
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

11620 Queens Blvd
Forest Hills, NY 11375-7055

11622 Queens Blvd
Forest Hills, NY 11375-7055
Phone (718) 793-4000

445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800

Hospital & facility affiliations

  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299

National Provider Directory

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

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince Dec 9, 2019 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Oct 8, 2019 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 9, 2019 Accepting new patients
Morris Heights Health Center, Inc. Current Accepting new patients
Maimonides Medical Center General Acute Care Hospital Current Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Oct 8, 2019 Accepting new patients
MGS Medical Technology PLLC Past Accepting new patients

Locations

779 Melrose Ave
Bronx, NY 10451
Phone (718) 585-4663

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: edwinazarkian@mai.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1609290519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE ASPEN PLACE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212810",
            "telephone_number": "516-457-6644",
            "fax_number": "516-466-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111-29 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "516-457-6644",
            "fax_number": "516-466-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-963-7272 x7585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 Bay Pkwy Ste 902",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112046091",
            "country_code": "US",
            "telephone_number": "718-475-1700",
            "fax_number": "718-475-1702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112052735",
            "country_code": "US",
            "telephone_number": "718-963-0800",
            "fax_number": "718-534-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZARKIAN",
        "first_name": "EDWIN COHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-12",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "298081",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "298081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.