Individual provider Active NPI

Aliya Fayazi

  • Gerontology Nurse Practitioner
  • North Brunswick, NJ
National Provider Identifier
1265038723
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ01082800 Issued in NJ
Practice address
55 Davidson Mill Rd
North Brunswick, NJ 08902-4751
Phone
(732) 491-3619
NPI assigned
Dec 9, 2020
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01082800 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ01082800 NJ Primary

Addresses

Primary practice location

55 Davidson Mill Rd
North Brunswick, NJ 08902-4751

Mailing address

55 Davidson Mill Rd
North Brunswick, NJ 08902-4751
Phone (732) 491-3619

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210308000956 NJ Practitioner - Nurse Practitioner 9234542879 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
Rwjbh Primary Care ServicesGroup PAC ID 0749699346, 266 clinicians

Practice addresses (Care Compare)

120 Cedar Grove LN
Somerset, NJ 08873-6462
Phone (732) 307-8886

3100 Quakerbridge Rd
Suite 28
Hamilton, NJ 08619-1658
Phone (609) 245-7430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Radiology Group of New Jersey, LLC Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Rwjbh Primary Care Services Multi-Specialty CurrentSince Apr 20, 2022 Accepting new patients
Renaissance Care LLC CurrentSince Jun 27, 2021 Accepting new patients
DRX Paramus, LLC Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Id Care LLC Multi-Specialty CurrentSince Dec 9, 2022 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Multi-Specialty CurrentSince Feb 26, 2022 Accepting new patients
Barnabas Health Medical Group, PC Multi-Specialty Past Accepting new patients
Monmouth Digestive Health LLC Multi-Specialty PastSince Aug 17, 2020 Accepting new patients

Locations

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

175 High St
Newton, NJ 07860
Phone (973) 383-2121

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

120 Cedar Grove Ln
Somerset, NJ 08873
Phone (732) 271-1220

120 Cedar Grove Ln
Unit T119
Somerset, NJ 08873

379 Campus Dr
Somerset, NJ 08873
Phone (732) 507-6545

1245 Whitehorse Mercerville Rd
Ste 410411
Trenton, NJ 08619
Phone (609) 581-2000

3100 Quakerbridge Rd
Ste 28
Trenton, NJ 08619
Phone (609) 245-7430

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Interoperability endpoints

  • Direct secure messaging: afayazi99236@epicdirect.rwjbh.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1265038723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DAVIDSON MILL RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024751",
            "telephone_number": "732-491-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DAVIDSON MILL RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024751",
            "telephone_number": "732-491-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYAZI",
        "first_name": "ALIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01082800",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01082800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.