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Aliya Fayazi

Nurse Practitioner, Gerontology in North Brunswick, NJ. Individual provider (NPI-1).

NPI number1265038723
StatusActive
Last updated in NPPESSep 15, 2026

Details

NPI
1265038723
Entity type
Individual (NPI-1)
Name
Aliya Fayazi
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 9, 2020
Certification date
Sep 15, 2026
Last updated
Sep 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, Gerontology26NJ01082800NJYes
363L00000X Nurse Practitioner26NJ01082800NJ

Practice location

55 Davidson Mill Rd
North Brunswick, NJ 08902-4751

Phone 732-491-3619

Mailing address

55 Davidson Mill Rd
North Brunswick, NJ 08902-4751

Phone 732-491-3619

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