Azza A Ezzat, N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F334288 Issued in NY

Practice address

796 Rathbun Ave
Staten Island, NY 10309-2409

Phone

(717) 716-7107

Fax

(717) 716-7107

NPI assigned

Jun 10, 2006

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299

Merit-based Incentive Payment System (MIPS)

Final score

23.7 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

79.01

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aging Well RN NP Family Health PLLC

  • Primary Care Nurse Practitioner
  • Staten Island, NY
  • NPI 1629202478

  Family

  Medicare reassignment NPD Authorized official

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

• Gamzel Ny, Inc

  dba Revival Home Health Care

  • Home Health Agency
  • Staten Island, NY
  • NPI 1841233178
  Care Compare affiliation

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1720029572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 RATHBUN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092409",
            "telephone_number": "717-716-7107",
            "fax_number": "718-494-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 RATHBUN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092409",
            "telephone_number": "717-716-7107",
            "fax_number": "717-716-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZAT",
        "first_name": "AZZA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Nwabueze Ezekwem
• Jideobi Y Ezeonu, OTR/L
• Ezmeds Pharma Inc (Pharmacy on Wheels)
• Ezra Behavioral Analysis, PC
• Maab Ezz Aldeen
• Nicole Marie Ezzo
• Susanne Marie Fabiano
• Jude Raphael Villaluz Facura, LPN
• Mojeoyinola Esther Fadairo
• Mosunda Fadairo

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.