Individual provider Active NPI

Combiz Rezayat, M.D.

  • Vascular Surgery Physician
  • Clifton, NJ
National Provider Identifier
1891954947
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA08728500 Issued in NJ
Practice address
1401 Broad St
Clifton, NJ 07013-4236
Phone
(973) 759-9000
Fax
(973) 759-1507
NPI assigned
Jun 4, 2008
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 240912 NY
Vascular Surgery Physician 2086S0129X 25MA08728500 NJ Primary

Addresses

Primary practice location

1401 Broad St
Clifton, NJ 07013-4236

Mailing address

433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000

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
I20100913000803 NJ Practitioner - Vascular Surgery 7618092792 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
Cardiovascular Health Consultants, P.a.Group PAC ID 8325934706, 118 clinicians
Barnabas Health Medical Group, PCGroup PAC ID 0648172809, 257 clinicians
CCG Medical Group LLCGroup PAC ID 0648640680, shared by 2 NPIs, 24 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

201 Lyons Ave
Newark, NJ 07112-2027
Phone (732) 923-7455

433 Central Ave
Westfield, NJ 07090-2520
Phone (973) 759-9000

788 Broad St
Shrewsbury, NJ 07702-4203
Phone (973) 759-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)52
Removal of tissue29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08728500NJMDVascular Surgery Physician
240912NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CCG Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 1, 2024 Accepting new patients
Practice Associates Medical Group CurrentSince Jun 1, 2015 Accepting new patients
Cardiovascular Health Consultants, P.a. CurrentSince Jun 1, 2015 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Aug 30, 2024 Accepting new patients
CCG Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Cardiovascular Care Group PC CurrentSince Jul 21, 2010 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1121 Route 22
Ste 103
Bridgewater, NJ 08807
Phone (908) 237-4001

1401 Broad St
Clifton, NJ 07013

3155 State Route 10
Ste 100
Denville, NJ 07834
Phone (973) 539-0333

240 Williamson St
Ste 402
Elizabeth, NJ 07202
Phone (908) 354-8900

129 Washington St
Fl 4
Hoboken, NJ 07030

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

95 Madison Ave
Ste 109
Morristown, NJ 07960
Phone (973) 538-8336

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#L4
Newark, NJ 07112
Phone (973) 926-7154

333 Mount Hope Ave
Fl 2
Rockaway, NJ 07866

788 Broad St
Shrewsbury, NJ 07702

788 Broad St
#1
Shrewsbury, NJ 07702

30 Rehill Ave
Ste 2300
Somerville, NJ 08876
Phone (732) 235-7802

649 Morris Ave
Springfield, NJ 07081
Phone (973) 795-7955

673 Morris Ave
Ste 201
Springfield, NJ 07081
Phone (212) 241-2087

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

433 Central Ave
Westfield, NJ 07090

433 Central Ave
Fl 2
Westfield, NJ 07090
Phone (973) 302-8700

Interoperability endpoints

  • Direct secure messaging: crezayat@tcvcg.ssdirect.aprima.com
  • Direct secure messaging: crezayat13015@direct.ahsys.org
  • Direct secure messaging: crezayat191184@ahs.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1891954947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 CENTRAL AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902520",
            "telephone_number": "973-759-9000",
            "fax_number": "973-759-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134236",
            "telephone_number": "973-759-9000",
            "fax_number": "973-759-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAYAT",
        "first_name": "COMBIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "240912",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA08728500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.