George Michael Azzariti, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA02002700 Issued in NJ

Practice address

18 Railroad Ave
Suite 103
Rochelle Park, NJ 07662-4105

Phone

(201) 928-0748

NPI assigned

Aug 15, 2005

Last updated

Jan 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Azzariti, Kolsky Pedimedica PA

  • Pediatrics Physician
  • Teaneck, NJ
  • NPI 1841291242
  NPD (past) Authorized official

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1386646768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RAILROAD AVE",
            "address_2": "SUITE 103",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624105",
            "telephone_number": "201-291-2323",
            "fax_number": "201-291-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RAILROAD AVE",
            "address_2": "SUITE 103",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624105",
            "telephone_number": "201-928-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZARITI",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA02002700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1592602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel Angel Arruffat, PT,DPT
• Asap Medical Supply, LLC
• Hormoz Ashtyani Asl, M.D.
• Ashley Averta
• Disha Aya, MD
• Suzanne M Badawi, LCSW
• Alison Bandstra
• Adreanna Barrios, MS, LAC
• Barry N. Eisenman, DMD, LLC
• Lauren Bay

• Pediatrics Physician in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.