Individual provider Active NPI

Guzal Seyal, MD

  • Hospitalist Physician
  • Browns Mills, NJ
National Provider Identifier
1396094868
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA09813500 Issued in NJ
Practice address
200 Trenton Rd
Browns Mills, NJ 08015-1764
Phone
(098) 931-2006
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X E-9445 AR
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 25MA09813500 NJ Primary

Addresses

Primary practice location

200 Trenton Rd
Browns Mills, NJ 08015-1764

Mailing address

4 Chris Ann CT
Old Bridge, NJ 08857-3761
Phone (732) 925-7146

Other names 1

  • Dr. Guzal Niyazova Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NJ2 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
I20160420001442 AR Practitioner - Internal Medicine 4385942689 Reassigns benefits to 1 organization
I20190801003153 NJ Practitioner - Internal MedicinePractitioner - Hospitalist 4385942689 Reassigns benefits to 1 organization
Practice locations: Old Bridge, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09813500NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Feb 14, 2016 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Jul 27, 2019 Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

Organizations & group practices 3

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": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1396094868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHRIS ANN CT",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573761",
            "telephone_number": "732-925-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENTON RD",
            "city": "BROWNS MILLS",
            "state": "NJ",
            "postal_code": "080151764",
            "telephone_number": "098-931-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYAL",
        "first_name": "GUZAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-9445",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA09813500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUZAL",
            "last_name": "NIYAZOVA",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Browns Mills, NJ

Sources for this page

Verify at the official NPI Registry.