Provider Demographics
NPI:1013908847
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:2005-11-01
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04569800207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ000563232OtherAMERIHEALTH
NJ001611701OtherAMERIHEALTH
NJ0527530001OtherMEDICARE DMERC
NJE63232OtherAMERIHEALTH ADMINISTRATOR
NJ0057805OtherAETNA
110027221OtherRAILROAD MEDICARE
NJDN2359OtherRAILROAD MEDICARE GROUP PTAN
NJ84254OtherAMERICAID
NJ0013749Medicaid
NJ228906200OtherAMERIHEALTH HMO/PPO/POS
7437560OtherMAMSI
0004104162OtherAETNA LIFE INSURANCE
NJ1730136854OtherRAILROAD MEDICARE FROUP MEMBER NPI
NJP515578OtherOXFORD
000563232OtherHIGHMARK
NJQ11701OtherAMERIHEALTH ADMINISTRATOR
NJ0013749Medicaid
NJ0057805OtherAETNA
NJ=========OtherCIGNA
NJQ11701OtherAMERIHEALTH ADMINISTRATOR