Active NPI
Benjamin Awad, MD
- General Practice Physician
- Bronx, NY
National Provider Identifier
1760058192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 54042460
- Practice address
- 2432 Grand Concourse
Bronx, NY 10458-5204 - Phone
- (718) 590-1800
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 54042460 | PA | Primary |
Addresses
Primary practice location
2432 Grand Concourse
Bronx, NY 10458-5204
Mailing address
360 Huguenot St Apt 2308
New Rochelle, NY 10801-7031
Phone (845) 521-6163
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54042460 | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1760058192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 HUGUENOT ST APT 2308",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108017031",
"telephone_number": "845-521-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2432 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104585204",
"telephone_number": "718-590-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "54042460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.