Individual provider Active NPI

Azriel Benaroya, M.D.

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
National Provider Identifier
1962445122
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
185149 Issued in NY
Practice address
79-01 Broadway
Room A1 - 9
Elmhurst, NY 11373-1329
Phone
(718) 334-4952
Fax
(718) 334-4815
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 185149 NY Primary

Addresses

Primary practice location

79-01 Broadway
Room A1 - 9
Elmhurst, NY 11373-1329

Mailing address

21757 Kingsbury Ave
Oakland Gardens, NY 11364-3534
Phone (917) 406-4966

Other identifiers 1

IdentifierTypeStateIssuer
01366792MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912001176 NY Practitioner - Orthopedic SurgeryPractitioner - Pain Management 9234162140 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York Medical & Diagnostic Center Inc CurrentSince Aug 15, 2019 Accepting new patients
Mihail Medvedovsky Physician PC CurrentSince Feb 12, 2019 Accepting new patients
Synergy Health Medical Solutions PC CurrentSince Oct 1, 2014 Accepting new patients
Groupo Medico Dominicano PLLC CurrentSince Feb 6, 2017 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Jul 1, 2016 Accepting new patients
Comprehensive Primary Family Medical Care of Ny, PLLC PastSince Mar 1, 2014 Accepting new patients
Jal 28 LLC Past Accepting new patients
Mermaid Management Inc PastSince Oct 22, 2019 Accepting new patients
New York Ab Medical, PLLC Orthopaedic Surgery PastSince Jul 13, 2025 Accepting new patients

Locations

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

95 Clinton St
Hempstead, NY 11550
Phone (516) 292-0800

8046 Kew Gardens Rd
Kew Gardens, NY 11415
Phone (718) 261-1000

629 W 185th St
New York, NY 10033
Phone (212) 543-3500

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1962445122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21757 KINGSBURY AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643534",
            "telephone_number": "917-406-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-01 BROADWAY",
            "address_2": "ROOM A1 - 9",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-4952",
            "fax_number": "718-334-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAROYA",
        "first_name": "AZRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "185149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01366792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.