Active NPI
Abdul C K Azeez, MD
- Internal Medicine Physician
- Yonkers, NY
National Provider Identifier
1932216512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 155093
- Practice address
- 970 N Broadway
308B
Yonkers, NY 10701 - Phone
- (914) 423-8000
- Fax
- (914) 423-4833
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 155093 | NY | Primary |
Addresses
Primary practice location
970 N Broadway
308B
Yonkers, NY 10701
Mailing address
5 Canterbury Court
Briarcliff Manor, NY 10510-1820
Phone (914) 423-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00D031 | Other | NY | BCBS |
| 0H4778 | Other | ACS HEALTHNET | |
| 0003993 | Other | GHI | |
| 00787242 | Medicaid | NY | |
| WP611 | Other | OXFORD |
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 |
|---|---|---|---|---|
| I20041012000017 | NY | Practitioner - Internal Medicine | 0840250254 | Practice locations: Bronx, NY; Yonkers, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1932216512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CANTERBURY COURT",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "105101820",
"telephone_number": "914-423-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 N BROADWAY",
"address_2": "308B",
"city": "YONKERS",
"state": "NY",
"postal_code": "10701",
"telephone_number": "914-423-8000",
"fax_number": "914-423-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZEEZ",
"first_name": "ABDUL",
"middle_name": "C K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "155093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00D031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS HEALTHNET",
"identifier": "0H4778",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0003993",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00787242",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "WP611",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.