NADDER AZZAM MD
NPI 1679214514
Anesthesiology in Edison, NJ

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2026, Apr 5, 2022 (2 updates tracked since 2022).

About Nadder Azzam Md NPPES

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

NADDER AZZAM MD (NPI 1679214514) is an individual anesthesiology provider in Edison, New Jersey, licensed in New Jersey (25MA12880500) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Cooper Medical College (2022).

NPPES Registry Identity

NPI1679214514
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameNADDER AZZAMCredential: MD
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address3 Davenport CtOld Tappan, NJ 07675-7202 · (201) 421-1085
Sole ProprietorNo
Medical School CMSCooper Medical CollegeGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateApril 18, 20262 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
NPI 1679214514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in NJ · 25MA12880500
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
65 JAMES ST, Edison, NJ 08820

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

Nadder Azzam 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 ID3173902947
PECOS Enrollment IDI20260417002993
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.

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.

Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820

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 Nadder Azzam's NPI number?

The NPI number for Nadder Azzam is 1679214514. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Nadder Azzam located?

Nadder Azzam practices at 65 James St, Edison, NJ 08820. The listed phone number is (954) 939-5000.

What is Nadder Azzam's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nadder Azzam enrolled in Medicare?

Yes. Nadder Azzam 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.

When was this NPI record last updated?

The NPPES record for Nadder Azzam was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.