Active NPI
Azra T Wasti Physician PC
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1730234097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 189994
- Legal business name
- AZRA T WASTI PHYSICIAN PC
- Practice address
- 834 Coney Island Ave
Brooklyn, NY 11218-5310 - Phone
- (718) 859-5171
- Fax
- (718) 469-0111
- NPI assigned
- Jan 24, 2007
- Last updated
- May 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Azra Tabassum Wasti, M.D.
- Title
- Owner
- Phone
- (718) 859-5171
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 189994 | NY | Primary |
Addresses
Primary practice location
834 Coney Island Ave
Brooklyn, NY 11218-5310
Mailing address
834 Coney Island Ave
Brooklyn, NY 11218-5310
Phone (718) 859-5171
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1932254018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368057600000",
"number": "1730234097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185310",
"telephone_number": "718-859-5171",
"fax_number": "718-469-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112185310",
"telephone_number": "718-859-5171",
"fax_number": "718-469-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZRA T WASTI PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2013-05-09",
"status": "A",
"authorized_official_last_name": "WASTI",
"authorized_official_first_name": "AZRA",
"authorized_official_middle_name": "TABASSUM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-859-5171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "189994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.