Individual provider Active NPI

Hayder Asaad Azeez, MD

  • Internal Medicine Physician
  • Tinton Falls, NJ
National Provider Identifier
1902433592
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11743400 Issued in NJ
Practice address
6209 Autumn Dr
Tinton Falls, NJ 07753-7456
Phone
(972) 388-6629
NPI assigned
Mar 24, 2020
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NY
Internal Medicine Physician 207R00000X 25MA11743400 NJ Primary

Addresses

Primary practice location

6209 Autumn Dr
Tinton Falls, NJ 07753-7456

Mailing address

6209 Autumn Dr
Tinton Falls, NJ 07753-7456
Phone (972) 388-6629

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
I20241022005495 NJ Practitioner - Internal Medicine 5799218202 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians

Practice addresses (Care Compare)

300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 222-5200

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11743400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Jul 11, 2024 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Jul 11, 2024 Accepting new patients
Rwjbh Observation Associates LLC Internal Medicine CurrentSince Jan 23, 2026 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Jan 23, 2026 Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Hospital Plz
Old Bridge, NJ 08857
Phone (732) 324-4158

Organizations & group practices 4

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 3

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1902433592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 AUTUMN DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537456",
            "telephone_number": "972-388-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 AUTUMN DR",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077537456",
            "telephone_number": "972-388-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEEZ",
        "first_name": "HAYDER",
        "middle_name": "ASAAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11743400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.