Individual provider Active NPI

Zaza J Aivazi, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1063408474
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
22374 Issued in NY
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

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02491454MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040427001689 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8729075270 Reassigns benefits to 4 organizations
I20250604001821 CT Practitioner - Interventional CardiologyPractitioner - Internal Medicine 8729075270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians

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

LicenseStateTypeSpecialty
22374NYMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Feb 1, 2020 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Mar 3, 2024 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. CurrentSince Jun 5, 2023 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Cardiovascular Disease CurrentSince Feb 1, 2020 Accepting new patients
Dac Physician Services,PC PastSince May 3, 2004 Accepting new patients
Broadway Cardiopulmonary, P.C. Cardiovascular Disease Past Accepting new patients
Jian Cui, Dermatology, P.C. PastSince Jun 1, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.