Active NPI
Muhammad Azfar Mullick, MBBS
- Internal Medicine Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09542400
- Practice address
- 201 Lyons Ave
Newark, NJ 07112-2027 - Phone
- (973) 926-2164
- NPI assigned
- Jan 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 275926-1 | NY | |
| Hospitalist Physician | 208M00000X | 25MA09542400 | NJ | |
| Hospitalist Physician | 208M00000X | 275926 | NY | |
| Internal Medicine Physician | 207R00000X | 25MA09542400 | NJ | Primary |
Addresses
Primary practice location
201 Lyons Ave
Newark, NJ 07112-2027
Mailing address
201 Lyons Ave # 4
Newark, NJ 07112-2027
Phone (973) 926-2164
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
Hospital & facility affiliations
- Newark Beth Israel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09542400 | NJ | MD | Internal Medicine Physician |
| 275926-1 | NY | MD | Internal Medicine Physician |
| 275926 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Subacute Medical Associates | Internal Medicine | Current | Accepting new patients |
| Newark Beth Israel Medical Center Inc | Current | Accepting new patients | |
| Rwjbh Emergency Medicine Associates, LLC | Internal Medicine | Current | Accepting new patients |
| Newark Beth Israel Medical Center Inc | Past | Accepting new patients | |
| Vital Medical Forces of Dover PC | Internal Medicine | Past | Accepting new patients |
| Barnabas Health Medical Group, PC | Internal Medicine | Past | Accepting new patients |
Locations
110 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-6600
225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204
600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#4
Newark, NJ 07112
Phone (973) 926-7472
201 Lyons Ave
#M
Newark, NJ 07112
Phone (800) 843-2384
166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
Internal Medicine
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1033210323
-
- Internal Medicine Physician
- Cedar Grove, NJ
- NPI 1245607076
-
- Psychiatric Hospital Unit
- Newark, NJ
- NPI 1043457955
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
-
- Internal Medicine Physician
- Dover, NJ
- NPI 1720007701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215027966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1487925038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 LYONS AVE # 4",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 LYONS AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071122027",
"telephone_number": "973-926-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLICK",
"first_name": "MUHAMMAD",
"middle_name": "AZFAR",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-13",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "275926-1",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA09542400",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "275926",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09542400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.