Physician Compare National (NPI:1053595637)

HEALTHCARE PROVIDER: AZIZ M MERCHANT MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053595637
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012070204
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131217000910
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MERCHANT
	Individual professional last name
Provider First Name	AZIZ
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9830003417
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	343
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	140 BERGEN ST
	Group Practice or individual's line 1 address
City	NEWARK
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	071032425
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9739729000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310119
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	THE UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310076
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT BARNABAS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y