Organization Active NPI

Avag Medical PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1689683807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218312 Issued in NY
Legal business name
AVAG MEDICAL PC
Practice address
2124 1St Ave
New York, NY 10029-3306
Phone
(212) 426-9222
Fax
(212) 426-1409
NPI assigned
Aug 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Igor Z. Avagyan, MD
Title
President
Phone
(212) 348-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218312 NY Primary

Addresses

Primary practice location

2124 1St Ave
New York, NY 10029-3306

Mailing address

PO Box 578
New York, NY 10029-0243
Phone (212) 426-9222

National Provider Directory

National Provider Directory

Locations

1957 3rd Ave
New York, NY 10029
Phone (212) 426-9222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689683807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100290243",
            "telephone_number": "212-426-9222",
            "fax_number": "212-426-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293306",
            "telephone_number": "212-426-9222",
            "fax_number": "212-426-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVAG MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVAGYAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-348-3620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.