Individual provider Active NPI

Mukaram A Gazi, M.D.

  • Urology Physician
  • Hamilton, NJ
National Provider Identifier
1679527188
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA06709800 Issued in NJ
Practice address
1374 Whitehorse Hamilton Square Rd
Suite 101
Hamilton, NJ 08690-3701
Phone
(609) 581-5900
Fax
(609) 581-5901
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA06709800 NJ Primary

Addresses

Primary practice location

1374 Whitehorse Hamilton Square Rd
Suite 101
Hamilton, NJ 08690-3701

Mailing address

1374 Whitehorse Hamilton Square Rd
Suite 101
Hamilton, NJ 08690-3701
Phone (609) 581-5900

Other names 1

  • Dr. Mukaram A Gazi Professional name

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
I20040521001317 NJ Practitioner - Urology 7911998471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Miami, LM Miller School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakewood Urology Limited Liability CompanyGroup PAC ID 9032293709, 7 clinicians

Practice addresses (Care Compare)

1374 Whitehorse Hamilton Square Rd
Suite 101
Hamilton, NJ 08690-3701
Phone (609) 581-5900

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052
  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15
Removal of skin lesions58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06709800NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Urology Limited Liability Company Urology CurrentSince Jul 1, 2001 Accepting new patients
Lakewood Urology Limited Liability Company CurrentSince Sep 24, 2023 Accepting new patients

Locations

900 Route 70
Lakewood, NJ 08701
Phone (732) 741-5923

780 Route 37 W
Ste 235
Toms River, NJ 08755
Phone (732) 286-6644

1374 Whitehorse Hamilton Square Rd
Ste 101
Trenton, NJ 08690
Phone (609) 581-5900

2364 US Highway 9
Wall Township, NJ 07731
Phone (609) 581-5900

Interoperability endpoints

  • Direct secure messaging: mgazi@uuanj.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1679527188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "SUITE 101",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-581-5900",
            "fax_number": "609-581-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "SUITE 101",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-581-5900",
            "fax_number": "609-581-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZI",
        "first_name": "MUKARAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA06709800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUKARAM",
            "last_name": "GAZI",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.