Basic Information
Provider Information
NPI: 1013369552
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AAMER
FirstName: AAIZA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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Mailing Information
Address1: 519 BROADWAY # 3100
Address2:  
City: BAYONNE
State: NJ
PostalCode: 070023713
CountryCode: US
TelephoneNumber: 7323695994
FaxNumber: 7185794834
Practice Location
Address1: 234 E 149TH ST
Address2: 8-20
City: BRONX
State: NY
PostalCode: 104515504
CountryCode: US
TelephoneNumber: 7185795278
FaxNumber: 7185794834
Other Information
ProviderEnumerationDate: 07/08/2016
LastUpdateDate: 07/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  N HospitalsGeneral Acute Care Hospital 
207RG0300X25MA10896200NJY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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