MS. MICHELLE AZIZI PA
NPI 1508470055
Physician Assistant - Surgical in Bronx, NY

Active since September 02, 2020PECOS EnrolledAccepts Medicare Assignment
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Michelle Azizi Pa NPPES

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

MS. MICHELLE AZIZI PA (NPI 1508470055) is an individual surgical provider in Bronx, New York and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Mercy College (2020).

NPPES Registry Identity

NPI1508470055
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MICHELLE AZIZICredential: PA
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address75 Kingfisher RdLevittown, NY 11756-2145 · (516) 469-0062
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2020
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
NPI 1508470055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
111 E 210TH ST, Bronx, NY 10467

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Michelle Azizi Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062823677
PECOS Enrollment IDI20201202001598
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Anesthesiology
111 E 210TH ST
BRONX, NY 10467

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 Michelle Azizi's NPI number?

The NPI number for Michelle Azizi is 1508470055. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Michelle Azizi located?

Michelle Azizi practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Michelle Azizi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michelle Azizi enrolled in Medicare?

Yes. Michelle Azizi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michelle Azizi affiliated with any hospitals?

According to CMS data, Michelle Azizi is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Azizi was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.