Joshua Azar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DIO2841300 Issued in NJ

Practice address

311 Orange Rd
Montclair, NJ 07042-4451

Phone

(973) 850-4153

NPI assigned

Jun 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Refuah Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1669470019
  Medicare reassignment NPD
• Refuah Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Liberty, NY
  • NPI 1942903588
  NPD

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1053989640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 OGDEN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ORANGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424451",
            "telephone_number": "973-850-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAR",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO2841300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Avery, PHD
• Avicenna Medical Center
• Ayble Health Services New Jersey P.C.
• Mirna Ayoub, PA-C
• Faranak Azar, D.M.D.
• Omid Azarman, MD
• Babak Haghighi, DDS
• Danielle Catherine Bachant, LCSW, MT-BC
• Derek Bacharach, MA
• Marianne Bachman, RN

• Dentist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.