Physician Compare National (NPI:1346273778)

HEALTHCARE PROVIDER: AVISHEH FOROUZESH 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	1346273778
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335104637
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120227000312
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FOROUZESH
	Individual professional last name
Provider First Name	AVISHEH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	331 GRAND ST
	Group Practice or individual's line 1 address
City	HOBOKEN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070302719
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOBOKEN UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y