Individual provider Active NPI

Wageeh W. Azer, MD

  • Surgery Physician
  • East Brunswick, NJ
National Provider Identifier
1255501375
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08187800 Issued in NJ
Practice address
579 Cranbury Rd Ste G
East Brunswick, NJ 08816-5408
Phone
(327) 481-1599
NPI assigned
Mar 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 235162 NY
Surgery Physician 208600000X 25NA08187800 NJ
Surgery Physician 208600000X 25MA08187800 NJ Primary

Addresses

Primary practice location

579 Cranbury Rd Ste G
East Brunswick, NJ 08816-5408

Mailing address

579 Cranbury Rd Ste G
East Brunswick, NJ 08816-5408
Phone (732) 481-1599

Other identifiers 1

IdentifierTypeStateIssuer
0440159MedicaidNJ

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
I20110519000783 NJ Practitioner - General Surgery 0749328946 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

579 Cranbury Rd
Suite G
East Brunswick, NJ 08816-5408
Phone (732) 481-1599

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25NA08187800NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
Advanced Surgical Group Inc. Surgery CurrentSince Mar 1, 2011 Accepting new patients
USA Vein Clinics of New Jersey LLC CurrentSince Sep 15, 2024 Accepting new patients
USA Vascular Center of New Jersey LLC CurrentSince Nov 20, 2024 Accepting new patients
Avenel Iselin Medical Group, LLC Surgery CurrentSince Oct 9, 2018 Accepting new patients
Bushwick Medical of New York LLC PastSince Nov 20, 2024 Accepting new patients

Locations

579 Cranbury Rd
Ste G
East Brunswick, NJ 08816
Phone (732) 481-1599

400 Gill Ln
Iselin, NJ 08830
Phone (732) 404-1580

901 Route 73 N
Ste C
Marlton, NJ 08053
Phone (862) 212-3540

272 Main St
#A
Orange, NJ 07050
Phone (862) 212-1084

272 Main St
Ste B
Orange, NJ 07050
Phone (862) 930-1267

30 W Century Rd
Ste 215
Paramus, NJ 07652
Phone (201) 262-2244

700 Main Ave
Passaic, NJ 07055
Phone (973) 929-7600

766 Shrewsbury Ave
Ste 300
Tinton Falls, NJ 07724
Phone (732) 228-8346

50 E State St
Ste 100B
Trenton, NJ 08608
Phone (609) 900-3125

4201 Bergenline Ave
Ste 1
Union City, NJ 07087
Phone (551) 257-2207

Interoperability endpoints

  • Direct secure messaging: wageeh.azer@direct.bayonnemedicalcenter.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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1255501375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 CRANBURY RD STE G",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165408",
            "telephone_number": "732-481-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 CRANBURY RD STE G",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165408",
            "telephone_number": "327-481-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZER",
        "first_name": "WAGEEH",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "235162",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25NA08187800",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA08187800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440159",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.