Active NPI
Angela Azar MD PC
- Specialist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 209818
- Legal business name
- ANGELA AZAR MD PC
- Practice address
- 935 Northern Blvd Ste 106
Great Neck, NY 11021-5309 - Phone
- (516) 482-3496
- NPI assigned
- May 5, 2011
- Last updated
- May 9, 2022
- 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. Angela Azar, M.D.
- Title
- Doctor
- Phone
- (516) 729-8260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 209818 | NU | Primary |
Addresses
Primary practice location
935 Northern Blvd Ste 106
Great Neck, NY 11021-5309
Mailing address
PO Box 231309
Great Neck, NY 11023-0309
Phone (516) 482-3496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
287 Northern Blvd
Great Neck, NY 11021
Phone (516) 773-3030
935 Northern Blvd
Ste 106
Great Neck, NY 11021
Phone (516) 405-0044
9211 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 424-3001
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Dermatology Physician
- Great Neck, NY
- NPI 1003988718
-
- Dermatology Physician
- Great Neck, NY
- NPI 1619799509
-
- Physician Assistant
- Lawrence, NY
- NPI 1629950498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652054400000",
"number": "1841582079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 231309",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110230309",
"telephone_number": "516-482-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 NORTHERN BLVD STE 106",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215309",
"telephone_number": "516-482-3496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELA AZAR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-05",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A",
"authorized_official_last_name": "AZAR",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "516-729-8260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": "209818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.