Active NPI
Rabia S Awan MD, PA
- Family Medicine Physician
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rabia Sultana Awan, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Newark, NJ
- NPI 1477618866
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.