Samir Aziz

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

10909 Issued in NY

Practice address

172 Palisade Ave
Bogota, NJ 07603-1634

Phone

(201) 401-4494

Fax

(201) 342-5247

NPI assigned

Feb 14, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Samir Aziz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Snys Physical Therapy LLC.

  • Early Intervention Provider Agency
  • New York, NY
  • NPI 1750815593
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1154560175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PALISADE AVE",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031634",
            "telephone_number": "845-527-8008",
            "fax_number": "201-820-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 PALISADE AVE",
            "city": "BOGOTA",
            "state": "NJ",
            "postal_code": "076031634",
            "telephone_number": "201-401-4494",
            "fax_number": "201-342-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "SAMIR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-14",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "10909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIR",
            "last_name": "AZIZ",
            "prefix": "MR.",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deven Alvarez
• Christopher John Amoruso, DC
• Elizabeth Apollo, BCBA
• Assign Medical Transport
• Ayman Emil Ataalla
• Carlos Barbosa, LCSW
• Madeline Barrientos
• Irene A Bartels, R/N
• Ben S Greenberg
• Bogota Board of Education

• All providers in Bogota, NJ
• Early Intervention Provider Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.