Nadder Azzam, MD
Anesthesiology in Edison, NJ. Individual provider (NPI-1).
NPI number1679214514
StatusActive
Last updated in NPPESApr 18, 2026
Details
- NPI
- 1679214514
- Entity type
- Individual (NPI-1)
- Name
- Nadder Azzam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Apr 18, 2026
- Last updated
- Apr 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA12880500 | NJ | Yes |
Practice location
65 James StEdison, NJ 08820-3947
Phone 954-939-5000
Mailing address
3 Davenport CtOld Tappan, NJ 07675-7202
Phone 201-421-1085
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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