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FURZAN AZAM
NPI 1821676388
Student in an Organized Health Care Education/Training Program in Vineland, NJ

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
1505 W SHERMAN AVE, VINELAND, NJ 08360(909) 257-1467 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2022, Apr 19, 2022, Mar 29, 2021 (3 updates tracked since 2021).

About Furzan Azam NPPES

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

FURZAN AZAM (NPI 1821676388) is an individual student in an organized health care education/training program in Vineland, New Jersey and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2022).

NPPES Registry Identity

NPI1821676388
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFURZAN AZAM
Location Address1505 W SHERMAN AVEVineland, NJ 08360-7059
Mailing Address1505 W Sherman AveVineland, NJ 08360-7059 · (800) 467-7472
Phone(909) 257-1467
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2022
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 19, 20223 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1821676388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1505 W SHERMAN AVE, Vineland, NJ 08360
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Furzan Azam 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 ID8921546201
PECOS Enrollment IDI20251016003933
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.

Medicare Billing Reassignment

Medicare enrollment records show Furzan Azam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,473 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

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.

MARK STEVEN ARROYO PHARMD
Pharmacist
1505 W SHERMAN AVE, DEPT OF PHARMACY
VINELAND, NJ 08360
Cumberland County (856) 641-7557
VICTORIA MARIE MARSHALL
Nurse Anesthetist, Certified Registered
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (609) 970-8487
DONNA GIBSON RN, APNC
Nurse Practitioner (Family)
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
MRS. CAMELIA EAST RPH
Pharmacist
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-7557
NICHOLE SMITH PA-C
Physician Assistant
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
JOSHUA GRANT FREYER DPM
Student in an Organized Health Care Education/Training Program
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
LAURIE ANN MAGARGAL RPH
Pharmacist
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000
AMAL WAIL ABUKWAIK DO
Student in an Organized Health Care Education/Training Program
1505 W SHERMAN AVE
VINELAND, NJ 08360
Cumberland County (856) 641-8000

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 Furzan Azam's NPI number?

The NPI number for Furzan Azam is 1821676388. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Furzan Azam located?

Furzan Azam practices at 1505 W Sherman Ave, Vineland, NJ 08360. The listed phone number is (909) 257-1467.

What is Furzan Azam's specialty?

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

Is Furzan Azam enrolled in Medicare?

Yes. Furzan 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.

Which organization bills Medicare for Furzan Azam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Furzan Azam reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Furzan Azam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Furzan Azam was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.