NPIMap

Individual provider Active NPI

Avais Masud, MD

  • Nephrology Physician
  • Neptune, NJ
National Provider Identifier
1114983541
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA07052800 Issued in NJ
Practice address
2100 Corlies Ave
Suite 15
Neptune, NJ 07753-6102
Phone
(732) 988-8228
Fax
(732) 451-0059
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA07052800 NJ Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MA07052800 NJ

Addresses

Primary practice location

2100 Corlies Ave
Suite 15
Neptune, NJ 07753-6102

Mailing address

2100 Corlies Ave
Suite 15
Neptune, NJ 07753-6102
Phone (732) 988-8228

Other identifiers 2

IdentifierTypeStateIssuer
83C9305MedicaidNJ
2K7625OtherNJHEALTH NET

Other names 1

  • Wauis Masud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000723 NJ Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Critical Care (Intensivists) 2365405776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care CentersGroup PAC ID 6204279441, 23 clinicians

Practice addresses (Care Compare)

27 S Cooks Bridge Rd
Suite 2 11
Jackson, NJ 08527-2463
Phone (732) 460-1200

Hospital & facility affiliations

  • DaVita Belmar Dialysis Dialysis facility, Wall, NJ, CCN 312500
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07052800NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Feb 5, 2013 Accepting new patients
Kidney Care Centers Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Hospital Service District #2 of Lasalle Parish Past Accepting new patients
Shore Health Group, PC Past Accepting new patients

Locations

35 Beaverson Blvd
Ste 5C
Brick, NJ 08723
Phone (732) 219-0333

6 Industrial Way W
Ste B
Eatontown, NJ 07724
Phone (732) 460-1414

1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 836-3200

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387

Interoperability endpoints

  • Direct secure messaging: amasud425296@direct.ahsys.org
  • Direct secure messaging: amasud189956@ahs.direct-ci.com
  • Direct secure messaging: avais.masud@direct.davitaphysiciansolutions.com
  • Direct secure messaging: avais.masud@direct.christhospital.md

Organizations & group practices 6

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 9

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1114983541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "address_2": "SUITE 15",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-8228",
            "fax_number": "732-451-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CORLIES AVE",
            "address_2": "SUITE 15",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536102",
            "telephone_number": "732-988-8228",
            "fax_number": "732-451-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUD",
        "first_name": "AVAIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA07052800",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MA07052800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83C9305",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2K7625",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAUIS",
            "last_name": "MASUD",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.