ST MARYS GENERAL MEDICAL GROUP PC
NPI 1477261741
Internal Medicine in Passaic, NJ

Active since November 07, 2022
350 BOULEVARD, PASSAIC, NJ 07055(973) 365-4300 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St Marys General Medical Group Pc NPPES

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

ST MARYS GENERAL MEDICAL GROUP PC (NPI 1477261741) is a healthcare organization registered as an internal medicine in Passaic, New Jersey and active in the NPI registry since November 2022. The organization lists Syed Iftikhar Kazmi, President, as its authorized official.

NPPES Registry Identity

NPI1477261741
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST MARYS GENERAL MEDICAL GROUP PC
Location Address350 BOULEVARDPassaic, NJ 07055-2840
Mailing Address350 BoulevardPassaic, NJ 07055-2840 · (973) 365-4300
Organization SubpartNo
Authorized OfficialSyed Iftikhar KazmiPresident · (973) 877-5308
Enumeration DateNovember 7, 2022
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1477261741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatristTaxonomy 213E00000X
350 BOULEVARD, Passaic, NJ 07055

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Marys General Medical Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

101

Medicare enrollment records show 101 clinicians reassign Medicare billing to St Marys General Medical Group PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Anesthesiology23
Certified Registered Nurse Anesthetist (CRNA)19
Internal Medicine15
General Surgery12
Obstetrics/Gynecology7
Podiatry5
Nurse Practitioner3
Orthopedic Surgery3
11 other specialties14

Nearest to this location (20)

See all 101
Radiation Oncology
NPI 1265430433
350 BOULEVARD
Passaic, NJ 07055
(973) 365-5088
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1063767903
350 BOULEVARD
Passaic, NJ 07055
(973) 877-5080
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1588525158
350 BOULEVARD
Passaic, NJ 07055
(973) 594-7800
✔ Accepts MedicareSame address
Family Practice
NPI 1841873684
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1093078347
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1700263787
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1174296511
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4387
✔ PECOSSame address
General Surgery
NPI 1396791703
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4800
✔ PECOSSame address
Anesthesiology
NPI 1164605663
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4300
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1841392537
350 BOULEVARD
Passaic, NJ 07055
(973) 365-2840
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1528129624
363 BOULEVARD # 1R
Passaic, NJ 07055
(973) 614-1171
✔ PECOS0.1 mi
Anesthesiology
NPI 1043576705
350 BOULEVARD
Passaic, NJ 07055
(973) 365-4410
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1740237197
110 PASSAIC AVE
Passaic, NJ 07055
(973) 471-9585
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1790307155
295 SUMMER ST
Passaic, NJ 07055
(862) 266-9192
✔ PECOS✔ Accepts Medicare0.5 mi
Anesthesiology
NPI 1144201302
165 AMSTERDAM AVE
Passaic, NJ 07055
(973) 336-9459
✔ PECOS✔ Accepts Medicare1.0 mi
Cardiovascular Disease (Cardiology)
NPI 1629023478
925 CLIFTON AVE SUITE# 108
Clifton, NJ 07013
(973) 471-6200
✔ PECOS✔ Accepts Medicare1.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285179010
114 BROOK AVE
Passaic, NJ 07055
(973) 513-2060
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1649347964
1005 CLIFTON AVE
Clifton, NJ 07013
(973) 777-2005
✔ PECOS✔ Accepts Medicare1.4 mi
Obstetrics/Gynecology
NPI 1356358709
985 PAULISON AVE
Clifton, NJ 07011
(973) 471-2000
✔ PECOS✔ Accepts Medicare1.4 mi
Hematology/Oncology
NPI 1134221062
1011 CLIFTON AVE
Clifton, NJ 07013
(862) 591-2002
✔ PECOS✔ Accepts Medicare1.4 mi
See all 101 clinicians

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

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 St Marys General Medical Group PC's NPI number?

The NPI number for St Marys General Medical Group PC is 1477261741. It was assigned to this organization in the NPPES registry on November 7, 2022.

Where is St Marys General Medical Group PC located?

St Marys General Medical Group PC is located at 350 Boulevard, Passaic, NJ 07055. The listed phone number is (973) 365-4300.

What is St Marys General Medical Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is St Marys General Medical Group PC enrolled in Medicare?

Yes. St Marys General Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Marys General Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 101 clinicians in 19 Medicare specialties reassign their Medicare billing to St Marys General Medical Group PC. A 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 the clinician's services. The largest specialties are Anesthesiology (23), Certified Registered Nurse Anesthetist (CRNA) (19) and Internal Medicine (15). Of these, 10 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St Marys General Medical Group PC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.