Individual provider Active NPI

Rod Amazan, NP

  • Psychiatry Physician
  • Bronx, NY
National Provider Identifier
1679089726
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F402282-1 Issued in NY
Practice address
1985 Sedgwick Ave Apt 6F
Bronx, NY 10453-2745
Phone
(718) 304-7260
Fax
(315) 293-8085
NPI assigned
Dec 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X F402282-1 NY Primary

Addresses

Primary practice location

1985 Sedgwick Ave Apt 6F
Bronx, NY 10453-2745

Mailing address

101 Rockland Garden Apt # 101
Nyack, NY 10960-2513
Phone (845) 499-6974

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226002583 NY Practitioner - Nurse Practitioner 3274894712 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Health and Housing, Inc.Group PAC ID 2163331620, 20 clinicians
Union Settlement AssociationGroup PAC ID 4486545282, 4 clinicians

Practice addresses (Care Compare)

1727 Amsterdam Ave
New York, NY 10031-4611

1727 Amsterdam Ave FL
Suite 4
New York, NY 10031-4611

1985 Sedgwick Ave
Apt 6F
Bronx, NY 10453-2745
Phone (845) 499-6974

2089 3Rd Ave
New York, NY 10029-2184
Phone (212) 828-6144

237 E 104TH St
New York, NY 10029-2184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F402282-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronxcare Health System CurrentSince Jan 1, 2018 Accepting new patients
Union Settlement Association Psychiatry CurrentSince Dec 30, 2023 Accepting new patients
Bronxcare Health System Psychiatry CurrentSince Jan 1, 2018 Accepting new patients
Heritage Health and Housing, Inc Past Accepting new patients

Locations

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1265 Franklin Ave
Bronx, NY 10456
Phone (718) 503-7700

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

237 E 104th St
New York, NY 10029
Phone (212) 828-6000

2089 3rd Ave
New York, NY 10029
Phone (212) 828-6000

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1679089726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROCKLAND GARDEN APT # 101",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602513",
            "telephone_number": "845-499-6974",
            "fax_number": "315-293-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 SEDGWICK AVE APT 6F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104532745",
            "telephone_number": "718-304-7260",
            "fax_number": "315-293-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAZAN",
        "first_name": "ROD",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "F402282-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.