Organization Active NPI

Naim T. Nazha MD PC

  • Hematology & Oncology Physician
  • Northfield, NJ
National Provider Identifier
1013908847
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA04569800 Issued in NJ
Legal business name
NAIM T. NAZHA MD PC
Practice address
411 New Rd
Northfield, NJ 08225-1648
Phone
(609) 383-6033
Fax
(609) 383-0064
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Naim T. Nazha, M.D.NPI 1730136854
Title
President/Ceo
Phone
(609) 383-6033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 25MA04569800 NJ Primary

Addresses

Primary practice location

411 New Rd
Northfield, NJ 08225-1648

Mailing address

411 New Rd
Northfield, NJ 08225-1648
Phone (609) 383-6033

Other identifiers 16

IdentifierTypeStateIssuer
000563232OtherNJAMERIHEALTH
001611701OtherNJAMERIHEALTH
0527530001OtherNJMEDICARE DMERC
E63232OtherNJAMERIHEALTH ADMINISTRATOR
0057805OtherNJAETNA
110027221OtherRAILROAD MEDICARE
DN2359OtherNJRAILROAD MEDICARE GROUP PTAN
84254OtherNJAMERICAID
0013749MedicaidNJ
228906200OtherNJAMERIHEALTH HMO/PPO/POS
7437560OtherMAMSI
0004104162OtherAETNA LIFE INSURANCE
1730136854OtherNJRAILROAD MEDICARE FROUP MEMBER NPI
P515578OtherNJOXFORD
000563232OtherHIGHMARK
Q11701OtherNJAMERIHEALTH ADMINISTRATOR

Other names 1

  • Nazha Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000300 NJ Part B Supplier - Clinic/Group Practice 4183536352 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Galloway, NJ; Northfield, NJ

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Naim T Nazha MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1013908847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251648",
            "telephone_number": "609-383-6033",
            "fax_number": "609-383-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251648",
            "telephone_number": "609-383-6033",
            "fax_number": "609-383-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAIM T. NAZHA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "NAZHA",
        "authorized_official_first_name": "NAIM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "609-383-6033",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA04569800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "000563232",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "001611701",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0527530001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "E63232",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0057805",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110027221",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "DN2359",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "84254",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013749",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO/PPO/POS",
            "identifier": "228906200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "7437560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INSURANCE",
            "identifier": "0004104162",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE FROUP MEMBER NPI",
            "identifier": "1730136854",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P515578",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000563232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "Q11701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazha Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.