Central Avenue Professional Services, PC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

CENTRAL AVENUE PROFESSIONAL SERVICES, PC

Practice address

111 Central Ave
Newark, NJ 07102-1909

Phone

(973) 877-5300

Fax

(973) 877-5317

NPI assigned

Jan 12, 2015

Last updated

Jun 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Syed Kazmi, M.D.

Title

Owner

Phone

(973) 877-5300

Specialties & licenses 4

Addresses

Other names 1

• Prime Healthcare Other name

Medicare fee-for-service enrollment

Enrolled in NJ, TX, KY, VA, NY, CA, GA, IL, FL, PA10 enrollments

Enrollment records 10

Locations

Practitioners 172

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Abushanab, MD

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1265005953
  Medicare reassignment Care Compare group NPD
• Kamil M. Amer, MD

  • Orthopaedic Surgery Physician
  • Paramus, NJ
  • NPI 1497288120
  Medicare reassignment Care Compare group NPD
• Nicholas G Baranetsky, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Newark, NJ
  • NPI 1093808164
  Medicare reassignment Care Compare group NPD
• Judith Ann Barberio, PH.D., RN, APN,C

  • Nurse Practitioner
  • Lebanon, NJ
  • NPI 1295950061
  Medicare reassignment Care Compare group NPD
• Bahar Bas, R.P.A.-C

  • Surgical Physician Assistant
  • Newark, NJ
  • NPI 1548589161
  Medicare reassignment Care Compare group NPD
• Spartaco Bellomo, M.D.P.A.

  • Infectious Disease Physician
  • Jersey City, NJ
  • NPI 1790779833
  Medicare reassignment Care Compare group NPD
• Joaquim Jose Correia, MD

  • Cardiovascular Disease Physician
  • Newark, NJ
  • NPI 1205945623
  Medicare reassignment Care Compare group NPD
• William Scott Digiacomo, M.D.

  • Internal Medicine Physician
  • Union, NJ
  • NPI 1982652970
  Medicare reassignment Care Compare group NPD
• Hanna Rose Duffy, PA-C

  • Surgical Physician Assistant
  • Newark, NJ
  • NPI 1326912858
  Medicare reassignment Care Compare group NPD
• Daniel Marc Eisman, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
  • NPI 1740635036

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kevin Herman, M.D.

  • Vascular & Interventional Radiology Physician
  • Teaneck, NJ
  • NPI 1619107703
  Medicare reassignment Care Compare group NPD
• L. Deanna Howard, M.D

  • Gynecology Physician
  • Livingston, NJ
  • NPI 1326066812
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1447649694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5300",
            "fax_number": "973-877-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5300",
            "fax_number": "973-877-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071022011",
            "country_code": "US",
            "telephone_number": "973-877-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL AVENUE PROFESSIONAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "KAZMI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-877-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Healthcare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prime Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Critical Care Medicine (Internal Medicine) Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Critical Care Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.