Irwin L Azar DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0268111 Issued in NY

Legal business name

IRWIN L AZAR DDS PC

Practice address

1644 E 14TH St
Brooklyn, NY 11229-1104

Phone

(718) 998-1818

Fax

(718) 645-4393

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Irwin L Azar, DDS

Title

President

Phone

(718) 998-1818

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1861663536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291104",
            "telephone_number": "718-998-1818",
            "fax_number": "718-645-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291104",
            "telephone_number": "718-998-1818",
            "fax_number": "718-645-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN L AZAR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-998-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0268111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01410168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aquina Irving-Brantley, FNP-BC
• Pauline Federeika Irving, LPN.
• Irvington Healthcare Providers LLC
• Irwin Goldschein DDS PC
• Irwin Kolin, DDS
• Jack Irwin, DDS
• Mark B Irwin, M.D.
• Mitch Irwin, M.S., SLP-CFY
• Raeanne Irwin, LPN
• Shameka Irwin

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.