MOHAMMAD O AZAM PA
NPI 1669626024
Physician Assistant - Medical in Mineola, NY
About Mohammad O Azam Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMMAD O AZAM PA (NPI 1669626024) is an individual medical provider in Mineola, New York, licensed in New York (012399) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in Valley Stream.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mohammad O Azam Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYMedicare 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Mohammad Azam's NPI number?
The NPI number for Mohammad Azam is 1669626024. It was assigned to this individual provider in the NPPES registry on November 12, 2008.
Where is Mohammad Azam located?
Mohammad Azam practices at 120 Mineola Blvd Ste 330, Mineola, NY 11501. The listed phone number is (516) 663-8850.
What is Mohammad Azam's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Mohammad Azam enrolled in Medicare?
Yes. Mohammad Azam 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.
Is Mohammad Azam affiliated with any hospitals?
According to CMS data, Mohammad Azam is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Mohammad Azam was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mohammad O Azam, PA · NPI 1669626024
Medical physician in Mineola, New York. Individual provider, active in the CMS NPPES registry since November 12, 2008.
## Identity
- **NPI:** 1669626024 (Entity type: Individual)
- **Enumerated:** November 12, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 012399 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 MINEOLA BLVD STE 330, Mineola, NY 11501-4077
- **Phone:** (516) 663-8850
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669626024) · Data from the CMS NPPES public registry.