Individual provider Active NPI

Sameer Anor Azhak, M.D.

  • Cardiovascular Disease Physician
  • Wayne, NJ
National Provider Identifier
1073672085
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08041900 Issued in NJ
Practice address
246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156
Phone
(973) 942-1141
Fax
(973) 942-1250
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA08041900 NJ Primary

Addresses

Primary practice location

246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156

Mailing address

246 Hamburg Tpke
Suite 201
Wayne, NJ 07470-2156
Phone (973) 942-1141

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
I20080107000425 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9436239233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Group Wayne General Hospital 6 clinicians
St Josephs Physicians Healthcare Group Inc 25 clinicians

Practice addresses (Care Compare)

224 Hamburg Tpke
Wayne, NJ 07470-2168
Phone (976) 790-3232

703 Main St
Paterson, NJ 07503-2621
Phone (973) 754-2052

999 McBride Ave
Suite B204
Woodland Park, NJ 07424-2563
Phone (973) 754-2052

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Josephs Physicians Healthcare Group Inc Cardiovascular Disease CurrentSince Jan 16, 2011 Accepting new patients

Locations

123 Highland Ave
Ste 302
Glen Ridge, NJ 07028
Phone (973) 748-9555

19 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-3412

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

230 W Parkway
Ste 10
Pompton Plns, NJ 07444
Phone (908) 442-7011

510 Hamburg Tpke
Ste 201
Wayne, NJ 07470
Phone (973) 790-3232

468 Parish Dr
Ste 3
Wayne, NJ 07470
Phone (973) 833-7230

246 Hamburg Tpke
Ste 201
Wayne, NJ 07470

999 McBride Ave
Ste B204
Woodland Park, NJ 07424
Phone (973) 256-5667

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1073672085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-942-1141",
            "fax_number": "973-942-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE",
            "address_2": "SUITE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702156",
            "telephone_number": "973-942-1141",
            "fax_number": "973-942-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZHAK",
        "first_name": "SAMEER",
        "middle_name": "ANOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08041900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.