Organization Active NPI

Rabia S Awan MD, PA

  • Family Medicine Physician
  • Newark, NJ
National Provider Identifier
1659824431
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RABIA S AWAN MD, PA
Practice address
201 Lyons Ave Ste D-3
Newark, NJ 07112-2027
Phone
(739) 268-2289
Fax
(973) 923-2061
NPI assigned
Jul 28, 2016
Last updated
Oct 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
Rabia Sultana Awan, M.DNPI 1477618866
Title
President
Phone
(973) 926-8228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

201 Lyons Ave Ste D-3
Newark, NJ 07112-2027

Mailing address

101 Roxy Ave
Edison, NJ 08820-1939
Phone (973) 926-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161026001334 NJ Part B Supplier - Clinic/Group Practice 7012295025 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, NJ

National Provider Directory

National Provider Directory

Locations

1503 Saint Georges Ave
Ste 101
Colonia, NJ 07067
Phone (732) 499-9449

201 Lyons Ave
Ste D3
Newark, NJ 07112
Phone 6098901050155

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1659824431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROXY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201939",
            "telephone_number": "973-926-8228",
            "fax_number": "973-923-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE STE D-3",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "739-268-2289",
            "fax_number": "973-923-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABIA S AWAN MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "RABIA",
        "authorized_official_middle_name": "SULTANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-926-8228",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "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 Oct 10, 2018; 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.