Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ARVIN AZAM DO
NPI 1164360509
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since March 24, 2026
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2026, Mar 31, 2026, Mar 24, 2026 (3 updates tracked since 2026).

About Arvin Azam Do NPPES

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

ARVIN AZAM DO (NPI 1164360509) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1164360509
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameARVIN AZAMCredential: DO
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address75 N Country RdPort Jefferson, NY 11777-2119 · (631) 473-1320
Sole ProprietorNo
Enumeration DateMarch 24, 2026
Last NPPES UpdateAugust 1, 20263 updates tracked since enumeration
NPPES CertifiedAugust 1, 2026
NPI 1164360509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
75 N COUNTRY RD, Port Jefferson, NY 11777

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.

Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777

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 Arvin Azam's NPI number?

The NPI number for Arvin Azam is 1164360509. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Arvin Azam located?

Arvin Azam practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Arvin Azam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Arvin Azam was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.