Individual provider Active NPI

Azizeh Haji-Djafari, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Sewickley, PA
National Provider Identifier
1487669974
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD-018537-E Issued in PA
Practice address
720 Blackburn Rd
Department of Pathology
Sewickley, PA 15143-1459
Phone
(412) 749-7364
Fax
(412) 741-4745
NPI assigned
Jul 31, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD-018537-E PA Primary

Addresses

Primary practice location

720 Blackburn Rd
Department of Pathology
Sewickley, PA 15143-1459

Mailing address

720 Blackburn Rd
Department of Pathology
Sewickley, PA 15143-1459
Phone (412) 749-7364

Other identifiers 1

IdentifierTypeStateIssuer
09760800001MedicaidPA

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
MD-018537-EPAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sewickley Pathologists Past 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1487669974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN RD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431459",
            "telephone_number": "412-749-7364",
            "fax_number": "412-741-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BLACKBURN RD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431459",
            "telephone_number": "412-749-7364",
            "fax_number": "412-741-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI-DJAFARI",
        "first_name": "AZIZEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD-018537-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09760800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.