AZAM SOROUSH MD
NPI 1720057318
Pediatrics - Pediatric Gastroenterology in Neptune, NJ

Active since March 16, 2006
61 DAVIS AVE, STE 1, NEPTUNE, NJ 07753(732) 776-4860(732) 776-4867 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azam Soroush Md NPPES

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

AZAM SOROUSH MD (NPI 1720057318) is an individual pediatric gastroenterology provider in Neptune, New Jersey, licensed in New Jersey (25MA06860600) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1720057318
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameAZAM SOROUSHCredential: MD
Location Address61 DAVIS AVE, STE 1Neptune, NJ 07753-4401
Mailing Address61 Davis Ave, Ste 1Neptune, NJ 07753-4401 · (732) 776-4860 · Fax (732) 776-4867
Fax(732) 776-4867
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateJanuary 24, 2017
NPI 1720057318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in NJ · 25MA06860600
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
61 DAVIS AVE, Neptune, NJ 07753

Other Identifiers 3

Medicaid7232306NJ
Medicare UPING2506NJ
Medicare PIN204708UWHNJ

Other Providers at the Same Location NPPES 14

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

Pediatrics (Pediatric Gastroenterology)
61 DAVIS AVE
NEPTUNE, NJ 07753
Pediatrics (Pediatric Gastroenterology)
61 DAVIS AVE, SUITE 1
NEPTUNE, NJ 07753
Social Worker
61 DAVIS AVE
NEPTUNE, NJ 07753
Pediatrics (Pediatric Infectious Diseases)
61 DAVIS AVE, SUITE 1
NEPTUNE, NJ 07753
Pediatrics (Pediatric Gastroenterology)
61 DAVIS AVE, SUITE 1
NEPTUNE, NJ 07753
Registered Nurse (Lactation Consultant)
61 DAVIS AVE
NEPTUNE, NJ 07753
Community/Behavioral Health
61 DAVIS AVE
NEPTUNE, NJ 07753
Pediatrics (Pediatric Endocrinology)
61 DAVIS AVE, SUITE 1
NEPTUNE, NJ 07753

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 Azam Soroush's NPI number?

The NPI number for Azam Soroush is 1720057318. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Azam Soroush located?

Azam Soroush practices at 61 Davis Ave Ste 1, Neptune, NJ 07753. The listed phone number is (732) 776-4860.

What is Azam Soroush's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Azam Soroush was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.