Wafeeqa Azeem, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00332400 Issued in NJ

Practice address

131 Bergen St Suite 100
Newark, NJ 07103

Phone

(862) 206-5230

Fax

(973) 577-7610

NPI assigned

Jan 16, 2015

Last updated

Aug 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Monarch Medical Group LLC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Clifton, NJ
  • NPI 1134938384
  NPD (past)

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1437548245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N ARLINGTON AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BERGEN ST SUITE 100",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "862-206-5230",
            "fax_number": "973-577-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEEM",
        "first_name": "WAFEEQA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00332400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patria Ayton, LMSW
• Muhammed Gauhar Ayub, M.D.
• Mohammed Majed Ibrahim Ayyad, MD
• Manasa Ayyala, M.D.
• Hassan Ayyash
• Amanda Azer, MD
• Emad F Aziz, D.O., M.B., CH.B.
• Rania Aziz, M.D.
• Shahid Rahim Aziz, D.M.D., M.D.
• Uchechi Azubuine, M.D.

• Physician Assistant in Newark, NJ
• Providers in Newark, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.