Individual provider Active NPI

Ammar Bazerbashi, MD

  • Internal Medicine Physician
  • Middletown, NJ
National Provider Identifier
1205885704
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA072160 Issued in NJ
Practice address
950 Hwy 35
Middletown, NJ 07748-2603
Phone
(732) 888-0017
Fax
(732) 888-0097
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA072160 NJ Primary

Addresses

Primary practice location

950 Hwy 35
Middletown, NJ 07748-2603

Mailing address

950 Hwy 35
Middletown, NJ 07748-2603
Phone (732) 888-0017

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
I20060313000629 NJ Practitioner - Internal Medicine 1557385762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

950 State Route 35
Middletown, NJ 07748-2603
Phone (732) 888-0017

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA072160NJMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ammar Bazerbashi Legal Medicine CurrentSince Nov 26, 2005 Accepting new patients

Locations

668 N Beers St
Ste 105
Holmdel, NJ 07733
Phone (732) 888-0017

950 State Route 35
Middletown, NJ 07748
Phone (732) 631-8008

Organizations & group practices 1

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 7

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1205885704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HWY 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482603",
            "telephone_number": "732-888-0017",
            "fax_number": "732-888-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HWY 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482603",
            "telephone_number": "732-888-0017",
            "fax_number": "732-888-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZERBASHI",
        "first_name": "AMMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA072160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NJ

Sources for this page

Verify at the official NPI Registry.