Active NPI
Zaza J Aivazi, MD
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22374
- Practice address
- 150 E 77TH St
New York, NY 10021-1922 - Phone
- (212) 439-6000
- Fax
- (212) 439-1526
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22374 | NY | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 22374 | NY |
Addresses
Primary practice location
150 E 77TH St
New York, NY 10021-1922
Mailing address
3141 45TH St
Long Island City, NY 11103-1621
Phone (718) 721-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02491454 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 W Main St
Suite 150
Stamford, CT 06902-4542
Phone (516) 616-5500
646 Park Ave
New York, NY 10065-6105
Phone (516) 616-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22374 | NY | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Medical Group of the Mount Sinai School of Medicine | Cardiovascular Disease | Current | Accepting new patients |
| North Shore Medical Group of the Mount Sinai School of Medicine | Current | Accepting new patients | |
| New York Bariatric Surgery Group PLLC | Current | Accepting new patients | |
| Long Island Minimally Invasive Surgery, P.C. | Current | Accepting new patients | |
| North Shore Medical Group of the Mount Sinai School of Medicine | Cardiovascular Disease | Current | Accepting new patients |
| Dac Physician Services,PC | Past | Accepting new patients | |
| Broadway Cardiopulmonary, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Jian Cui, Dermatology, P.C. | Past | Accepting new patients | |
| Forest Hills Nuclear Spect Imaging PC | Nuclear Cardiology | Past | Accepting new patients |
| Cardiocare PC | Cardiovascular Disease | Past | Accepting new patients |
| Mount Sinai Hospital | Past | Accepting new patients |
Locations
140 Sherman St
Fl 2
Fairfield, CT 06824
Phone (203) 255-3451
2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037
3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446
340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735
1420 Broadway
Hewlett, NY 11557
Phone (516) 295-1176
325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700
775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595
120 E Main St
Huntington, NY 11743
Phone (631) 300-2484
1345 Motor Pkwy
Islandia, NY 11749
Phone (631) 630-6297
1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200
3722 82nd St
Jackson Hts, NY 11372
Phone (718) 779-1600
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100
496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200
646 Park Ave
New York, NY 10065
Phone (212) 249-0404
200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000
9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500
715 Roanoke Ave
Ste 1
Riverhead, NY 11901
Phone (631) 963-4750
125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800
560 Sunrise Hwy
West Islip, NY 11795
2 Crosfield Ave
Ste 208
West Nyack, NY 10994
Phone (845) 348-9400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- nybg.zazaaivazi@136202.advancedmd-direct.com
Organizations & group practices 12
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.
-
- Specialist
- Roslyn Heights, NY
- NPI 1356545867
-
- Internal Medicine Physician
- Greenlawn, NY
- NPI 1275640609
Cardiovascular Disease
-
- Pulmonary Disease Physician
- Elmhurst, NY
- NPI 1528192515
-
- Cardiovascular Disease Physician
- Rockaway Park, NY
- NPI 1457638702
-
- Gastroenterology Physician
- Huntington, NY
- NPI 1164623278
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1992417323
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Long Island City, NY
- NPI 1871589200
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1083732663
-
- Nuclear Cardiology Physician
- Forest Hills, NY
- NPI 1336214139
-
- Dermatology Physician
- Flushing, NY
- NPI 1063652311
-
- Clinic/Center
- Long Island City, NY
- NPI 1710912423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1063408474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 45TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111031621",
"telephone_number": "718-721-1500",
"fax_number": "718-777-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E 77TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100211922",
"telephone_number": "212-439-6000",
"fax_number": "212-439-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIVAZI",
"first_name": "ZAZA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "22374",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NY",
"license": "22374",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02491454",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.