DR. AZIZ M MERCHANT MD
NPI 1053595637
Surgery in Newark, NJ

Active since December 19, 2007PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
185 S ORANGE AVE, RUTGERS-NEW JERSEY MEDICAL SCHOOL, MSB G514, NEWARK, NJ 07103(973) 972-0072 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Aziz M Merchant Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AZIZ M MERCHANT MD (NPI 1053595637) is an individual surgery provider in Newark, New Jersey, licensed in Michigan (095915) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2000).

NPPES Registry Identity

NPI1053595637
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. AZIZ M MERCHANTCredential: MD
Location Address185 S ORANGE AVE, RUTGERS-NEW JERSEY MEDICAL SCHOOL, MSB G514Newark, NJ 07103-2757
Mailing Address185 S Orange Ave, Rutgers-new Jersey Medical School, Msb G514Newark, NJ 07103-2757 · (973) 972-0072
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2000
Enumeration DateDecember 19, 2007
Last NPPES UpdateSeptember 26, 2013
✔ NPI 1053595637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 095915
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
185 S ORANGE AVE, Newark, NJ 07103

Other Identifiers 6

Medicaid1053595637MI
Other183023MI · Glhp
Medicare PIN0G36141021MI
Other1053595637MI · Caresource
Other7000784841MI · Priority Health
Other01027261MI · Health Plus

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Aziz M Merchant Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012070204
PECOS Enrollment IDI20131217000910
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Aziz Merchant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services66 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
100 services95 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
185 S ORANGE AVE, MSB STE E547
NEWARK, NJ 07103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
185 S ORANGE AVE, MSB I588
NEWARK, NJ 07103
Emergency Medicine
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Physician Assistant (Medical)
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aziz Merchant's NPI number?

The NPI number for Aziz Merchant is 1053595637. It was assigned to this individual provider in the NPPES registry on December 19, 2007.

Where is Aziz Merchant located?

Aziz Merchant practices at 185 S Orange Ave Rutgers-New Jersey Medical School, Msb G514, Newark, NJ 07103. The listed phone number is (973) 972-0072.

What is Aziz Merchant's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Aziz Merchant enrolled in Medicare?

Yes. Aziz Merchant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Aziz Merchant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aziz Merchant reassigns Medicare benefits to 2 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aziz Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aziz Merchant accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Aziz Merchant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Aziz Merchant affiliated with any hospitals?

According to CMS data, Aziz Merchant is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Aziz Merchant was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.