Individual provider Active NPI

Najam Kazmi, MD

  • Specialist
  • Vineland, NJ
National Provider Identifier
1417066010
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA31656 Issued in NJ
Practice address
1051 W Sherman Ave
Suite 4B
Vineland, NJ 08360-6931
Phone
(856) 692-4244
Fax
(856) 794-1254
NPI assigned
Aug 29, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA31656 NJ Primary

Addresses

Primary practice location

1051 W Sherman Ave
Suite 4B
Vineland, NJ 08360-6931

Mailing address

PO Box 178
Vineland, NJ 08362-0178
Phone (856) 692-4244

Other identifiers 1

IdentifierTypeStateIssuer
29848606MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA31656NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physcians & Surgeons PA. Specialist Past Accepting new patients
University Womens Imaging LLC PastSince Jun 23, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1417066010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083620178",
            "telephone_number": "856-692-4244",
            "fax_number": "856-795-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SHERMAN AVE",
            "address_2": "SUITE 4B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606931",
            "telephone_number": "856-692-4244",
            "fax_number": "856-794-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMI",
        "first_name": "NAJAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA31656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29848606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.