Individual provider Active NPI

Tina Vazirani, M.D.

  • Gastroenterology Physician
  • Marlboro, NJ
National Provider Identifier
1598965071
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA09344000 Issued in NJ
Practice address
475 County Road 520
Suite 201
Marlboro, NJ 07746-1059
Phone
(732) 370-2220
Fax
(732) 548-7408
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA09344000 NJ Primary

Addresses

Primary practice location

475 County Road 520
Suite 201
Marlboro, NJ 07746-1059

Mailing address

475 County Road 520
Suite 201
Marlboro, NJ 07746-1059
Phone (732) 370-2220

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130809000087 NJ Practitioner - Gastroenterology 6103068838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rutgers School of Dental Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

100 Perrine Rd
Old Bridge, NJ 08857-2878
Phone (732) 370-2220

1640 Route 88 W 202
Atlantic Coast Gastroenterology Assoc
Brick, NJ 08724-3068
Phone (732) 458-8300

42 Throckmorton LN
Old Bridge, NJ 08857-2572
Phone (732) 679-8808

55 Willow LN
Suite 201
Englishtown, NJ 07726-8434
Phone 7323702220120

901 W Main St
Freehold, NJ 07728-2537
Phone (732) 431-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy56
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients
Advanced Gastroenterology Associates, LLC Gastroenterology PastSince Jul 13, 2009 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

55 Willow Ln
Ste 201
Englishtown, NJ 07726
Phone (732) 370-2220

59 Kent Rd
Howell, NJ 07731
Phone (732) 370-2220

475 Highway 520
Ste 201
Marlboro, NJ 07746
Phone (732) 370-2220

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: tvazirani425651@direct.ahsys.org
  • Direct secure messaging: tina.vazirani.1@24721.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1598965071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 COUNTY ROAD 520",
            "address_2": "SUITE 201",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461059",
            "telephone_number": "732-370-2220",
            "fax_number": "732-548-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 COUNTY ROAD 520",
            "address_2": "SUITE 201",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461059",
            "telephone_number": "732-370-2220",
            "fax_number": "732-548-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRANI",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA09344000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.