Individual provider Active NPI

Azam Mughni, M.D.

  • Nephrology Physician
  • Jersey City, NJ
National Provider Identifier
1699199067
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09877000 Issued in NJ
Practice address
176 Palisade Ave
Jersey City, NJ 07306-1121
Phone
(201) 795-8201
NPI assigned
Feb 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA09877000 NJ Primary
Internal Medicine Physician 207R00000X 25MA09877000 NJ

Addresses

Primary practice location

176 Palisade Ave
Jersey City, NJ 07306-1121

Mailing address

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 795-8201

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
I20160817001958 NJ Practitioner - NephrologyPractitioner - Internal Medicine 8224323191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Medical and Health Associates,LLCGroup PAC ID 9133300791, 24 clinicians

Practice addresses (Care Compare)

150 Warren St
Jersey City, NJ 07302-6443
Phone (201) 309-3000

176 Palisade Ave
Jersey City, NJ 07306-1121
Phone (201) 653-8403

308 Willow Ave
Hoboken, NJ 07030-3808
Phone (201) 418-1000

Hospital & facility affiliations

  • DaVita Bayonne Dialysis facility, Bayonne, NJ, CCN 312561
  • Alaris Health Dialysis at Hamilton Park Dialysis facility, Jersey City, NJ, CCN 312580
  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040
  • Heights University Hospital Hospital, Jersey City, NJ, CCN 310016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Medical and Health Associates,LLC Internal Medicine CurrentSince Mar 25, 2017 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

744 Broadway
Rear
Bayonne, NJ 07002
Phone (201) 436-8888

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

1 Journal Square Plz
Ste 2
Jersey City, NJ 07306
Phone (201) 216-3030

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: amughni2254368@nychhc.direct-ci.com
  • Direct secure messaging: azam.mughni@cphmg.eclinicaldirectplus.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 5

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": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1699199067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061121",
            "telephone_number": "201-795-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061121",
            "telephone_number": "201-795-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGHNI",
        "first_name": "AZAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-05",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09877000",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09877000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.