Individual provider Active NPI

Jean Philippe Azor, LPN

  • Licensed Practical Nurse
  • Middle Island, NY
National Provider Identifier
1992685986
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
349840 Issued in NY
Practice address
142 W Bartlett Rd
Middle Island, NY 11953-1815
Phone
(929) 250-9473
NPI assigned
Sep 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 349840 NY Primary

Addresses

Primary practice location

142 W Bartlett Rd
Middle Island, NY 11953-1815

Mailing address

142 W Bartlett Rd
Middle Island, NY 11953-1815
Phone (929) 250-9473

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
349840NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1992685986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W BARTLETT RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531815",
            "telephone_number": "929-250-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W BARTLETT RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531815",
            "telephone_number": "929-250-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZOR",
        "first_name": "JEAN PHILIPPE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "349840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.