Ammar Awan, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

004966-01 Issued in NY

Practice address

2330 Newtown Ave Apt 6BW
Astoria, NY 11102-3066

Phone

(646) 462-8474

NPI assigned

Aug 13, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1962388090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NEWTOWN AVE APT 6BW",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023066",
            "telephone_number": "646-462-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NEWTOWN AVE APT 6BW",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023066",
            "telephone_number": "646-462-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAN",
        "first_name": "AMMAR",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "004966-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Elizabeth Avila, PA-C
• Leydy Avila
• Renee Aviv, RN, IBCLC
• Dotse Avochinou, RPA
• Meram Awadalla, LMSW
• Khurram Shahzad Awan, D.O
• Wayne Axman, DPM
• Umara Ayub, MD
• Javed Azmat
• B.a.M Optical Corp

• Athletic Trainer in Astoria, NY
• Providers in Astoria, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.