Active NPI
Imran Bazov
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1679491047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 005128
- Practice address
- 2959 Avenue Y
Brooklyn, NY 11235-1624 - Phone
- (718) 233-9098
- NPI assigned
- Jul 6, 2026
- Last updated
- Jul 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 005128 | NY | Primary |
Addresses
Primary practice location
2959 Avenue Y
Brooklyn, NY 11235-1624
Mailing address
2708 Healy Ave
Far Rockaway, NY 11691-1808
Other names 1
- Ami Bazov
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1679491047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 HEALY AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2959 AVENUE Y",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112351624",
"telephone_number": "718-233-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZOV",
"first_name": "IMRAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "005128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMI",
"last_name": "BAZOV",
"code": "5",
"type": "Other Name"
}
]
}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 Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.