Individual provider Active NPI

Azam H. Rizvi, M.D.

  • Diagnostic Radiology Physician
  • Mount Laurel, NJ
National Provider Identifier
1275535668
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07068200 Issued in NJ
Practice address
210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone
(856) 778-8860
Fax
(609) 261-4180
NPI assigned
Aug 15, 2005
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD071093L PA
Diagnostic Radiology Physician 2085R0202X 25MA07068200 NJ Primary

Addresses

Primary practice location

210 Ark Rd
Mount Laurel, NJ 08054-3188

Mailing address

1295 Route 38
P.O. Box 479
Hainesport, NJ 08036-2702
Phone (609) 261-7017

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7000

Other identifiers 1

IdentifierTypeStateIssuer
8238103MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050822000541 NJ Practitioner - Diagnostic Radiology 3678503455 Reassigns benefits to 4 organizations
I20260602000774 PA Practitioner - Diagnostic Radiology 3678503455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
Ancillary Services of Practice Associates PAGroup PAC ID 4981026192, 99 clinicians
Radiology Associates of Burlington County P aGroup PAC ID 7012954381, 153 clinicians
Larchmont Imaging AssociatesGroup PAC ID 5193762433, 54 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

100 Carnie Blvd
Suite A4
Voorhees, NJ 08043-4513
Phone (888) 909-7572

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370

1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (908) 522-6280

175 High St
Newton, NJ 07860-1004
Phone (973) 940-8730

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 267-0700

210 Ark Rd
Mount Laurel, NJ 08054-3188
Phone (609) 261-4500

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 850-6842

901 W Main St
Centrastate Medical Center
Freehold, NJ 07728-2537
Phone (732) 294-2934

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-2065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.17 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD071093LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ancillary Services of Practice Associates PA Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Hunterdon Ambulatory Services LLC CurrentSince Jun 1, 2025 Accepting new patients
Radiology Associates of Burlington County P a Diagnostic Radiology CurrentSince May 15, 2000 Accepting new patients
Women's Healthcare Imaging, Corp. CurrentSince Jul 8, 2025 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Larchmont Imaging Associates Diagnostic Radiology CurrentSince May 15, 2010 Accepting new patients
Atlantic Imaging Services LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

315 Route 70 E
Ste B
Cherry Hill, NJ 08034
Phone (856) 375-6240

100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620

401 Young Ave
Moorestown, NJ 08057
Phone (609) 261-4500

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

210 Ark Rd
Mount Laurel, NJ 08054
Phone (609) 261-4500

210 Ark Rd
Ste 106
Mount Laurel, NJ 08054
Phone (609) 261-7017

400 Fellowship Rd
Ste 200
Mount Laurel, NJ 08054

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

100 Carnie Blvd
Ste A4
Voorhees, NJ 08043
Phone (856) 751-0123

100 Carnie Blvd
Ste B5
Voorhees, NJ 08043
Phone (856) 751-0123

1307 White Horse Rd
Ste A102
Voorhees, NJ 08043
Phone (856) 374-4031

Organizations & group practices 9

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 5

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1275535668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 ROUTE 38",
            "address_2": "P.O. BOX 479",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362702",
            "telephone_number": "609-261-7017",
            "fax_number": "609-261-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ARK RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543188",
            "telephone_number": "856-778-8860",
            "fax_number": "609-261-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "AZAM",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD071093L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07068200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8238103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.