Active NPI
Michelle C Azu, MD
- Surgical Oncology Physician
- Pompton Plains, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 25MA08641600
- Practice address
- 97 W Parkway
Pompton Plains, NJ 07444-1647 - Phone
- (973) 831-5056
- Fax
- (973) 907-1084
- NPI assigned
- Jun 2, 2008
- Last updated
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 245487 | NY | |
| Surgical Oncology Physician | 2086X0206X | 25MA08641600 | NJ | Primary |
Addresses
Primary practice location
97 W Parkway
Pompton Plains, NJ 07444-1647
Mailing address
PO Box 416457
Boston, MA 02241-6457
Phone (973) 656-6280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Medical Associates, PC | Current | Accepting new patients | |
| Lawrence Medical Associates, PC | Current | Accepting new patients |
Locations
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100
685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
dba NewYork-Presbyterian Medical Group/Westchester
- Internal Medicine Physician
- Yorktown Heights, NY
- NPI 1023257441
-
dba Newyork-Presbyterian Medical Group/Westchester
- Multi-Specialty Clinic/Center
- Yorktown Heights, NY
- NPI 1184115479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1316105711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457",
"telephone_number": "973-656-6280",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 W PARKWAY",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441647",
"telephone_number": "973-831-5056",
"fax_number": "973-907-1084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZU",
"first_name": "MICHELLE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "245487",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NJ",
"license": "25MA08641600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.