Jason Azzara, AG-ACNP – Acute Care Nurse Practitioner

Key facts

NPI: 1992270748
Entity type: Individual (NPI type 1)
Primary specialty: Acute Care Nurse Practitioner 363LA2100X
License: SP019365 (PA)
Practice address: 10800 Knights Rd
Philadelphia, PA 19114-4200
Phone: (215) 612-4000
NPI assigned: Oct 8, 2018
Sex: Male
Sole proprietor: No

Organizations & group practices 3

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.

Aria Health Physician Services Family Medicine Physician · Richboro, PA · NPI 1750949806

Medicare reassignment Care Compare group NPD PA
Aria Health Physician Services Family Medicine Physician · Philadelphia, PA · NPI 1053181297

NPD
Aria Health Physician Services Critical Care Medicine (Internal Medicine) Physician · Philadelphia, PA · NPI 1811031131

NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Jefferson Health - Northeast General Acute Care Hospital · Philadelphia, PA · NPI 1801963343

Care Compare affiliation Name & address match Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Aria Health Physician Services (456 clinicians)

Practice addresses (Care Compare)

3998 Red Lion Rd
Philadelphia, PA 19114-1445
Phone (215) 612-5050

Hospital & facility affiliations

Jefferson Health- Northeast Hospital · Philadelphia, PA · CCN 390115

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190702001361	PA	Practitioner - Nurse Practitioner	0547594129	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Status	New patients
Aria Health Physician Services	Current since Apr 29, 2019	Accepting new patients
Aria Health Physician Services	Current	Accepting new patients
Aria Health Physician Services	Current since Apr 29, 2019	Accepting new patients

Locations

380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000

3998 Red Lion Rd
Ste 214
Philadelphia, PA 19114
Phone (215) 612-5050

3998 Red Lion Rd
Philadelphia, PA 19114
Phone (215) 612-4060

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Acute Care Nurse Practitioner	363LA2100X	SP019365	PA	Yes

Addresses

Primary practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Mailing address

10800 Knights Rd
Philadelphia, PA 19114-4200
Phone (215) 612-4609

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Acute Care Nurse Practitioner in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.