AZURE MEDICAL SERVICES PLLC
NPI 1023980489
Clinic/Center - Multi-Specialty in Staten Island, NY

Active since September 23, 2025
2691 HYLAN BLVD STE 4, STATEN ISLAND, NY 10306(347) 517-9584 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Azure Medical Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZURE MEDICAL SERVICES PLLC (NPI 1023980489) is a healthcare organization registered as a multi-specialty in Staten Island, New York and active in the NPI registry since September 2025. The organization lists Hanzel A Friday, Owner, as its authorized official.

NPPES Registry Identity

NPI1023980489
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAZURE MEDICAL SERVICES PLLC
Location Address2691 HYLAN BLVD STE 4Staten Island, NY 10306-4300
Mailing Address5510 Fillmore AveBrooklyn, NY 11234-4733 · (347) 517-9584
Organization SubpartNo
Authorized OfficialHanzel A FridayOwner · (347) 517-9584
Enumeration DateSeptember 23, 2025
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
✔ NPI 1023980489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2691 HYLAN BLVD STE 4, Staten Island, NY 10306

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azure Medical Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Azure Medical Services PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1386457851
450 CLARKSON AVE
Brooklyn, NY 11203
(718) 270-1000
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1215329990
121 DEKALB AVE
Brooklyn, NY 11201
(718) 250-8000
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Azure Medical Services PLLC's NPI number?

The NPI number for Azure Medical Services PLLC is 1023980489. It was assigned to this organization in the NPPES registry on September 23, 2025.

Where is Azure Medical Services PLLC located?

Azure Medical Services PLLC is located at 2691 Hylan Blvd Ste 4, Staten Island, NY 10306. The listed phone number is (347) 517-9584.

What is Azure Medical Services PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Azure Medical Services PLLC enrolled in Medicare?

Yes. Azure Medical Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azure Medical Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Azure Medical Services PLLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Azure Medical Services PLLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.