Active NPI
Abdul J. Awan, MD
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1780772368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 114958-1
- Practice address
- 7914 13TH Ave
Brooklyn, NY 11228-2704 - Phone
- (718) 836-2800
- Fax
- (718) 836-8010
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 114958-1 | NY | Primary |
Addresses
Primary practice location
7914 13TH Ave
Brooklyn, NY 11228-2704
Mailing address
7914 13TH Ave
Brooklyn, NY 11228-2704
Phone (718) 836-2800
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100327000127 | NY | Practitioner - Family Practice | 1052447208 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114958-1 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780772368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7914 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282704",
"telephone_number": "718-836-2800",
"fax_number": "718-836-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7914 13TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112282704",
"telephone_number": "718-836-2800",
"fax_number": "718-836-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAN",
"first_name": "ABDUL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "114958-1",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.