Nabil M Yazgi, M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA4538400 Issued in NJ

Legal business name

NABIL M YAZGI, M.D. P.A.

Practice address

401 Hamburg Turnpike, Suite 102
Wayne, NJ 07470-2139

Phone

(973) 790-1180

Fax

(973) 790-0712

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Nabil M Yazgi, M.D.NPI 1144337908

Title

Owner

Phone

(973) 790-1180

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nabil M Yazgi, MD, PA

  • Specialist
  • Wayne, NJ
  • NPI 1144337908
  Medicare reassignment NPD Authorized official
• Eric R. Brummer, P.T., C.H.T.

  • Physical Therapist
  • Paramus, NJ
  • NPI 1326072570
  NPD (past)
• Boemboy M Vendiola

  • Physical Therapist
  • Wayne, NJ
  • NPI 1689721862
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1720371149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE STE 102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-790-1180",
            "fax_number": "973-790-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TURNPIKE, SUITE 102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702139",
            "telephone_number": "973-790-1180",
            "fax_number": "973-790-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NABIL M YAZGI, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "YAZGI",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-790-1180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA4538400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3983307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Mustafa
• Lina Muthoni, PMHNP-BC
• Eshban Muthuka, APN
• Sarah N Myers, STUDENR
• Nabil El Rafei MD PA
• Omar Hisham Nabulsi, M.D.
• Nadereh Behnam,M.D. LLC.
• Laurie S Nahum, MD
• Purna Bindu Nandigam, MD
• Michael A Napoliello, DC

• Specialist in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.