Individual provider Active NPI

Amanullah A Vazir, MD

  • Pulmonary Disease Physician
  • Woodland Park, NJ
National Provider Identifier
1033283759
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MA55076 Issued in NJ
Practice address
999 McBride Ave
Suite 201B
Woodland Park, NJ 07424-2570
Phone
(973) 256-0287
Fax
(973) 256-2876
NPI assigned
Nov 17, 2006
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MA55076 NJ Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MA55076 NJ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MA55076 NJ

Addresses

Primary practice location

999 McBride Ave
Suite 201B
Woodland Park, NJ 07424-2570

Mailing address

999 McBride Ave
Suite 201B
Woodland Park, NJ 07424-2570
Phone (973) 256-0287

Other identifiers 1

IdentifierTypeStateIssuer
6187609MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040726001134 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0840260147 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3158

999 McBride Ave
Suite 201B
Woodland Park, NJ 07424-2570
Phone (973) 256-0287

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA55076NJMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aman Vazir LLC Critical Care Medicine CurrentSince Jul 26, 1994 Accepting new patients
KND Development 59, LLC CurrentSince Mar 1, 2017 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Apr 12, 2021 Accepting new patients
KND Development 59, LLC CurrentSince Mar 1, 2017 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients

Locations

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7709

999 McBride Ave
Ste C201
Woodland Park, NJ 07424
Phone (973) 256-0287

999 McBride Ave
Ste 201B
Woodland Park, NJ 07424
Phone (973) 256-0287

999 McBride Ave
Ste 201
Woodland Park, NJ 07424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAJGAA/Endpoint/EAJGAA
  • Direct secure messaging: amaah.vazir@direct.christhospital.md

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1033283759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 MCBRIDE AVE",
            "address_2": "SUITE 201B",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242570",
            "telephone_number": "973-256-0287",
            "fax_number": "973-256-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 MCBRIDE AVE",
            "address_2": "SUITE 201B",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242570",
            "telephone_number": "973-256-0287",
            "fax_number": "973-256-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIR",
        "first_name": "AMANULLAH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA55076",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "MA55076",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "MA55076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6187609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, NJ

Sources for this page

Verify at the official NPI Registry.