Shoib Aziz, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

196794 Issued in NY

Practice address

200 Lake St
Newburgh, NY 12550-5243

Phone

(845) 565-8022

NPI assigned

May 12, 2006

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hudson Valley Nephrologists P.C

  • Specialist
  • Newburgh, NY
  • NPI 1790734101
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1912957465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1400",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAKE ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505243",
            "telephone_number": "845-565-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZ",
        "first_name": "SHOIB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "196794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400054920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Pamplona Averion, APRN
• Susan Marie Avezov, NP
• Ahsan Ayaz, MD
• Adeola O Ayodeji, MD
• Annie Samina Aziz, MD
• Gbolagade O Babalola, DO
• Emmanuel Adeoba Babawale, MD
• Anastasiia Babintseva, M.D.
• Joaquin Bagtas, MD
• Justiniano Bagtas, M.D.

• Nephrology Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.