Mohammed R Azaz (NPI# 1356331763, PAC ID# 9931281441) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356331763 |
| PAC ID by PECOS | 9931281441 |
| Professional Enrollment ID | I20080123000426 |
| Full Name | Mohammed R Azaz |
| Organization Legal Name | MID-SUFFOLK MEDICAL CARE PC |
| Address |
6277 Jericho Tpke Commack NY 11725-2837 |
| Phone Number | 6314626644 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9133209778 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6277 Jericho Tpke, Commack, NY 11725-2837 | 6314626644 | MID-SUFFOLK MEDICAL CARE PC |
| 3505 Veterans Memorial Hwy, Suite B, Ronkonkoma, NY 11779-7613 | 6314673621 | MID-SUFFOLK MEDICAL CARE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 95% | |
| MIPS_EC_051_overall | Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation | 4% |
| Organization Legal Name | MID-SUFFOLK MEDICAL CARE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Dacosta | Internal Medicine | Mid-suffolk Medical Care PC | 6277 Jericho Tpke, Commack, NY 11725-2837 |
| Barbara Cartabuke-mule | Physician Assistant | Mid-suffolk Medical Care PC | 6277 Jericho Tpke, Commack, NY 11725-2837 |
| Street Address |
6277 JERICHO TPKE |
| City | COMMACK |
| State | NY |
| Zip | 11725-2837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra L Hartnett | Nurse Practitioner | Ams Primary Medical Care House Calls PC | 6277 Jericho Tpke, Commack, NY 11725-2837 |
| Kathleen D Ferrante | Nurse Practitioner | Ams Primary Medical Care House Calls PC | 6277 Jericho Tpke, Commack, NY 11725-2837 |
| Robin Dacosta | Internal Medicine | Mid-suffolk Medical Care PC | 6277 Jericho Tpke, Commack, NY 11725-2837 |
| Barbara Cartabuke-mule | Physician Assistant | Mid-suffolk Medical Care PC | 6277 Jericho Tpke, Commack, NY 11725-2837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen M Schnaue-constantouris | Podiatry | 69 Veterans Memorial Highway, Suite 1, Commack, NY 11725 | |
| Jill Sisselman | Family Medicine | Sisselman Medical Group PC | 2171 Jericho Turnpike, Suite 135, Commack, NY 11725 |
| Catherine Gerontis | Ophthalmology | C Corina Gerontis Md PC | 353 Veterams Mem Hwy 102, Commack, NY 11725 |
| Stephen G Sisselman | Internal Medicine | Sisselman Medical Group PC | 2171 Jericho Turnpike, Suite 135, Commack, NY 11725 |
| Denise Ferrazano | Clinical Social Worker | 139 Hayrick Ln, Commack, NY 11725-1520 | |
| Michael Ditkowsky | Optometry | 34 Wenmore Rd, Commack, NY 11725-1638 | |
| Cecilia Capuano King | Podiatry | 52 Roosevelt Ave, Commack, NY 11725-1733 | |
| Alan David Kaplan | Psychologist, Clinical | 40 Annandale Rd, Commack, NY 11725-1745 | |
| Robin A Kaplan | Clinical Social Worker | 40 Annandale Rd, Commack, NY 11725-1745 | |
| Luis Maldonado | Psychiatry | 42 Fleetwood Rd, Commack, NY 11725-1760 | |
| Find all physicians in zip 11725 | |||
| City | COMMACK |
| Zip Code | 11725 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COMMACK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mohammed R Azaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.