Individual provider Active NPI

Muhammad Azam, MD

  • Family Medicine Physician
  • Dayton, NJ
National Provider Identifier
1407048135
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08303100 Issued in NJ
Practice address
401 Ridge Rd
Suite 6
Dayton, NJ 08810-3300
Phone
(732) 329-4800
Fax
(732) 329-0445
NPI assigned
Aug 16, 2007
Last updated
Mar 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08303100 NJ Primary

Addresses

Primary practice location

401 Ridge Rd
Suite 6
Dayton, NJ 08810-3300

Mailing address

401 Ridge Rd
Suite 6
Dayton, NJ 08810-3300
Phone (732) 329-4800

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000257 NJ Practitioner - Family Practice 5294806337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

401 Ridge Rd
Dayton, NJ 08810-3300
Phone (732) 329-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08303100NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Oct 1, 2010 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Family Medicine Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Oct 1, 2010 Accepting new patients
Dept. of Med, C/O Carl O'Brien Dba Princeton Hosp. Medical Assocs. Past Accepting new patients

Locations

401 Ridge Rd
Dayton, NJ 08810
Phone (732) 230-3076

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

4 Princess Rd
Ste 207
Lawrenceville, NJ 08648
Phone (609) 883-1587

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

Organizations & group practices 6

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 2

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1407048135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RIDGE RD",
            "address_2": "SUITE 6",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088103300",
            "telephone_number": "732-329-4800",
            "fax_number": "732-329-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RIDGE RD",
            "address_2": "SUITE 6",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088103300",
            "telephone_number": "732-329-4800",
            "fax_number": "732-329-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08303100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NJ

Sources for this page

Verify at the official NPI Registry.