Ghazi Ahmad Husainzad, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00293000 Issued in NJ

Practice address

2 Leonard Ave
Camden, NJ 08105-2404

Phone

(856) 853-9191

Fax

(856) 756-0011

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Evergreen Medical Associates

  • Family Medicine Physician
  • Westville, NJ
  • NPI 1184750093
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1861559569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NICHOLSON RD",
            "city": "MOUNT EPHRAIM",
            "state": "NJ",
            "postal_code": "080591948",
            "telephone_number": "856-853-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEONARD AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081052404",
            "telephone_number": "856-853-9191",
            "fax_number": "856-756-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSAINZAD",
        "first_name": "GHAZI",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005761",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00293000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019629770001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson R Hunt, MD
• Katey Hunter, LCSW
• Susan Lori Hunter, APN
• Willie Hunter
• Gwyn Hurd, C.R.N.A.
• Mohammed Jawaad Hussain, M.D.
• Shawana Hussain, M.D.
• Abdallah H Hussein, MD
• Charlie Huynh
• Mai Thi Anh Huynh

• Foot & Ankle Surgery Podiatrist in Camden, NJ
• Providers in Camden, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.