Chowdhury Azam

Primary specialty

PsychologistTaxonomy code 103T00000X

License

MA63822 Issued in NJ

Practice address

19 Prospect St
Summit, NJ 07901-2530

Phone

(330) 758-4515

Fax

(330) 758-5121

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Bridges Behavioral Health Care

  • Psychiatry Physician
  • Brick, NJ
  • NPI 1821183765
  NPD (past)
• Compass Behavioral Health Care PC

  • Child & Adolescent Psychiatry Physician
  • Edison, NJ
  • NPI 1215070693
  NPD (past)
• Insights Behavioral Health, LLC

  • Psychiatry Physician
  • Brick, NJ
  • NPI 1922135490
  NPD (past)
• Pinnicle Behavioral Health, LLC

  • Prescribing (Medical) Psychologist
  • Point Pleasant, NJ
  • NPI 1285953976
  NPD (past)
• Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1033207378
  NPD (past)
• Seacrest Medical Associates, P.a.

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1164489621
  NPD (past)
• Valeo Behavioral Health, Inc.

  • Prescribing (Medical) Psychologist
  • Point Pleasant Boro, NJ
  • NPI 1851677033
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922053792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PROSPECT ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012530",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PROSPECT ST",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012530",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "CHOWDHURY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "MA63822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srilakshmi Atluri, MD
• Ravinderjeet Kaur Aulakh, MD
• Dara K. Avila, P.T.
• Kavya Avula
• Ayesha Ayub
• B. Sue Epstein PHD PC
• Dian Ael Babu, DO
• Katrina Anna Badiola-Lim, MD
• Hamid Franz Bagce, M.D., PH.D.
• Hilary Bain

• All providers in Summit, NJ
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.