DR. AZZA ELBASTY (NPI# 1588732614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588732614 |
| Entity Type | Individual |
| Full Name | DR. AZZA ELBASTY |
| Credential | MD, FAAP |
| Practice Address |
100 Commons Way Ste 130 Holmdel NJ 07733-2934 |
| Practice Telephone | 7326150700 |
| Practice Fax Number | 7326159152 |
| Mailing Telephone | 7326150700 |
| Mailing Fax Number | 7326159152 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MA058872 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6205305 | 05 |
| Street Address |
100 COMMONS WAY STE 130 |
| City | HOLMDEL |
| State | NJ |
| Zip Code | 07733-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819083 | Mohamed A Elbasty | Dentist | 100 Commons Way, Ste 130, Holmdel, NJ 07733 | 2005-11-25 |
| 1386923985 | Sagar Y. Patel M.d. LLC | Obstetrics & Gynecology | 100 Commons Way, Suite 260, Holmdel, NJ 07733-2934 | 2011-08-12 |
| 1518296359 | Chong Kim Pa | Otolaryngology | 100 Commons Way, Suite 701, Holmdel, NJ 07733-2934 | 2009-12-07 |
| 1487883559 | Elbasty Pediatric An Denta Assoc. | Dentist | 100 Commons Way, Suite 130, Holmdel, NJ 07733 | 2009-07-09 |
| 1649430844 | Sagar Patel | Obstetrics & Gynecology | 100 Commons Way, Suite 260, Holmdel, NJ 07733-2934 | 2008-06-11 |
| 1073780854 | Parini Munjal Patel | Internal Medicine | 100 Commons Way, Holmdel, NJ 07733-2934 | 2008-05-12 |
| 1205031911 | Jennifer Zaitz | Internal Medicine | 100 Commons Way, Suite 150, Holmdel, NJ 07733-2934 | 2007-06-21 |
| 1265478036 | Chong S Kim | Otolaryngology | 100 Commons Way, Suite 701, Holmdel, NJ 07733-2934 | 2006-06-21 |
| 1114962297 | Holmdel Medical Group, Inc | Otolaryngology | 100 Commons Way, Suite 701, Holmdel, NJ 07733-2934 | 2006-06-20 |
| 1629027339 | Holmdel Imaging LLC | Radiology | 100 Commons Way, Holmdel, NJ 07733-2934 | 2006-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851927628 | Kathleen Knauf | Physical Medicine & Rehabilitation | 2080 Nj 35 #1, Holmdel, NJ 07733 | 2020-03-12 |
| 1396370516 | Alexandra Julia Ali | Specialist/Technologist | 2080 State Route 35, Holmdel, NJ 07733 | 2020-03-09 |
| 1942862248 | Niki Mirzaei | Optometrist | 2101 Nj-35, Holmdel, NJ 07733 | 2019-07-08 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1487188686 | Smile Works Dental Center Pa. | Dentist | 101 Crawford Corner Road In Bellworks Building, Suite 1109, Holmdel, NJ 07733 | 2017-04-13 |
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1699214072 | Candace Stefflre | Massage Therapist | 14-b Plum Lane, Holmdel, NJ 07733 | 2017-02-17 |
| 1326411604 | Catherine Aurelie Hoch | Clinical Nurse Specialist | 727 N. Beers St, Holmdel, NJ 07733 | 2015-11-09 |
| 1174905228 | Lindsey Kirdahy | Counselor | 797 North Beers St, Holmdel, NJ 07733 | 2015-06-25 |
| 1245592971 | Jenifer Paulino | Early Intervention Provider Agency | 262 South Holland Road, Holmdel, NJ 07733 | 2012-06-08 |
| Find all providers in zip 07733 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356787329 | Christine Esmeralda Nazarian | Pediatrics | 2139 Route 35, Holmdel, NJ 07733-1094 | 2013-05-17 |
| 1649490608 | Children's Health Center, LLC | Pediatrics | 2139 State Route 35, Holmdel, NJ 07733-1001 | 2007-05-01 |
| 1932237963 | Complete Care Pediatrics, L.L.C. | Pediatrics | 723 N Beers St Ste 2e, Holmdel, NJ 07733-1512 | 2007-03-01 |
| 1205914256 | Ayoub Pediatrics Pa | Pediatrics | 2080 State Highway #35, Holmdel, NJ 07733 | 2006-11-01 |
| 1750329710 | Emilia Santamaria Lucero | Pediatrics | 670 N Beers St, Holmdel, NJ 07733-1516 | 2006-06-03 |
| 1568450690 | Nancy A Denicola | Pediatrics | 2139 Rt 35 North, Holmdel, NJ 07733 | 2005-10-12 |
| 1427041862 | Thomas Edward Baumlin Jr. | Pediatrics | 717 N Beers St, Holmdel, NJ 07733-1524 | 2005-08-30 |
| 1962821132 | Brittany Marie Carey | Pediatrics | 719 N Beers St, Holmdel, NJ 07733-1522 | 2014-04-15 |
| 1376833848 | Samia B Ayoub | Pediatrics | 2080 Highway 35, Holmdel, NJ 07733-1090 | 2011-04-18 |
| 1609019975 | Miguelino and David Pediatric Associates,llc | Pediatrics | 717 N Beers St, Suite 1-f, Holmdel, NJ 07733-1524 | 2009-04-15 |
| Find all providers in HOLMDEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.