Az Medical Services PC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

205328 Issued in NY

Legal business name

AZ MEDICAL SERVICES PC

Practice address

3965 Sedgwick Ave
1F
Bronx, NY 10463-3111

Phone

(718) 548-1569

Fax

(718) 548-2480

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Zergabachew Asfaw, MDNPI 1407807472

Title

Owner

Phone

(718) 548-1569

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zergabachew Asfaw, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1407807472
  Medicare reassignment Authorized official
• Rebecca Mammo, MD

  • Ophthalmology Physician
  • Yonkers, NY
  • NPI 1508062118
  NPD (past)
• Fe Trinidad Reyes-Arcangel, M.D.

  • Internal Medicine Physician
  • New City, NY
  • NPI 1649355686
  NPD (past)

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1871851295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OVERLOOK RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702118",
            "telephone_number": "718-548-1569",
            "fax_number": "718-548-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 SEDGWICK AVE",
            "address_2": "1F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633111",
            "telephone_number": "718-548-1569",
            "fax_number": "718-548-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "ASFAW",
        "authorized_official_first_name": "ZERGABACHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-548-1569",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "205328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883063",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raliat Ayuba, LPN
• Anna A Ayum, DO
• Ruth Alexandra Ayure-Ortiz, PMHNP-BC
• Mary Aywaz, DMD
• Az Ambulette LLC (Ambulnz)
• Aza Evaluations, Inc.
• Abul Kalam Azad, MD, MSC, PHD
• Mohammad Abul Kalam Azad, DDS
• Sayeka M Azad
• Mohammad Azam, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.

Verify at the official NPI Registry.