Arezu N Izad, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004578 Issued in NY

Practice address

26701 Hillside Ave
Floral Park, NY 11004-1743

Phone

(718) 343-7790

Fax

(718) 206-1289

NPI assigned

Dec 27, 2005

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Marzy Podiatry Associates PC

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  • NPI 1346528981
  NPD (past) Authorized official
• Gramercy Cardiac Diagnostic Services, P.C.

  • Nuclear Cardiology Physician
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  • NPI 1194016618
  NPD (past)
• Quality Medical Provider PC

  • Family Medicine Physician
  • Floral Park, NY
  • NPI 1023186442
  NPD (past)

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1639156169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "ROSLYN HTS",
            "state": "NY",
            "postal_code": "115770008",
            "telephone_number": "516-660-2171",
            "fax_number": "516-625-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26701 HILLSIDE AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041743",
            "telephone_number": "718-343-7790",
            "fax_number": "718-206-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZAD",
        "first_name": "AREZU",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01811930",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inder Therapy
• Jennifer Ingarra-Sommo
• Stephanie Ingwersen, NP
• Irvin L Kotkin MD PC (Nassau Queens Physical Medicine and Rehabilitation Services)
• Island Pro Medical Care, PLLC
• Lori Jackson, MS.ED
• Josepheena Jacob, M.D.
• Jain & Kanumilli,MD,PC
• Gina James, RN
• Priya Ann James, MS, OTR/L

• Podiatrist in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.