Organization Active NPI

Naim T Nazha MD PC

Doing business as Nazha Cancer Center Radiation Division

  • Radiation Oncology Physician
  • Northfield, NJ
National Provider Identifier
1063698959
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
25MA04569800 Issued in NJ
Legal business name
NAIM T NAZHA MD PC
Doing business as
Nazha Cancer Center Radiation Division
Practice address
801 New Road
Northfield, NJ 08225-1648
Phone
(609) 407-5055
Fax
(609) 407-5056
NPI assigned
Jan 10, 2008
Organization subpart
Yes
Parent organization
NAIM T NAZHA MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Naim Toufic NazhaNPI 1730136854
Title
MD
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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 25MA04569800 NJ
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X 24179 NJ
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X 24179 NJ
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X 25MA04569800 NJ Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 24179 NJ
Radiology Clinic/Center 261QR0200X 24179 NJ

Addresses

Primary practice location

801 New Road
Northfield, NJ 08225-1648

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
52753001OtherNJDMERC NJ MEDICARE
0013749MedicaidNJ
0057805OtherNJAETNA

Other names 1

  • Nazha Cancer Center Radiation Division 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
This NPI is an additional NPI on the 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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1086437Nazha Cancer Center801 New Road, Northfield, NJ 08225Certificate of waiverJul 13, 2028

National Provider Directory

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

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1063698959",
    "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": "609-383-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NEW ROAD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251648",
            "telephone_number": "609-407-5055",
            "fax_number": "609-407-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAIM T NAZHA MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAIM T NAZHA MD PC",
        "enumeration_date": "2008-01-10",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "NAZHA",
        "authorized_official_first_name": "NAIM",
        "authorized_official_middle_name": "TOUFIC",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "609-383-6033"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA04569800",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "NJ",
            "license": "24179",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NJ",
            "license": "24179",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA04569800",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "24179",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NJ",
            "license": "24179",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NJ MEDICARE",
            "identifier": "52753001",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013749",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0057805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazha Cancer Center Radiation Division",
            "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 Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.