Provider Demographics
NPI:1518977172
Name:NAIM T. NAZHA MD PC
Entity Type:Organization
Organization Name:NAIM T. NAZHA MD PC
Other - Org Name:NAZHA CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAIM
Authorized Official - Middle Name:T
Authorized Official - Last Name:NAZHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-383-6033
Mailing Address - Street 1:411 NEW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1648
Mailing Address - Country:US
Mailing Address - Phone:609-383-6033
Mailing Address - Fax:609-383-0064
Practice Address - Street 1:411 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1648
Practice Address - Country:US
Practice Address - Phone:609-383-6033
Practice Address - Fax:609-383-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04569800332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0057805OtherAETNA
NJP515578OtherOXFORD NAZHA MD
NJ0013749Medicaid
NJ001611701OtherAMERIHEALTH SM
NJ2289062000OtherAMERIHEALTH HMO PPO POS
NJ563232OtherHORIZON
NJQ11701OtherAMERIHEALTH ADMINISTRATOR
NJFO8129OtherHEALTHNET - NAZHA MD
NJ001611701OtherAMERIHEALTH SM
NJ563232OtherHORIZON