Individual provider Active NPI

Albana Abazi

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1912646530
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02905700 Issued in NJ
Practice address
8201 19TH Ave Apt B2
Brooklyn, NY 11214-2358
Phone
(347) 656-0024
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02905700 NJ Primary
General Practice Dentistry 1223G0001X 22DI02905700 NJ

Addresses

Primary practice location

8201 19TH Ave Apt B2
Brooklyn, NY 11214-2358

Mailing address

8201 19TH Ave Apt B2
Brooklyn, NY 11214-2358
Phone (347) 656-0024

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL direct Direct

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

State licenses

LicenseStateTypeSpecialty
22DI02905700NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1912646530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 19TH AVE APT B2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142358",
            "telephone_number": "347-656-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 19TH AVE APT B2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142358",
            "telephone_number": "347-656-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAZI",
        "first_name": "ALBANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02905700",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02905700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8201 19th Ave Apt B2",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112142358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 1, 2022; 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.