Healthcare Provider Details

I. General information

NPI: 1427973841
Provider Name (Legal Business Name): NJ HRT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2690 WOODBRIDGE AVE
EDISON NJ
08837-3604
US

IV. Provider business mailing address

2090 ROUTE 27
EDISON NJ
08817-3372
US

V. Phone/Fax

Practice location:
  • Phone: 732-662-9145
  • Fax:
Mailing address:
  • Phone: 732-662-5650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KHALID AZIZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 443-204-4444