AZAM SOROUSH MD NPI 1720057318

NPI Information

  • NPI: 1720057318
  • Provider Name: AZAM SOROUSH, MD
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Individual
  • Address: 61 DAVIS AVE
    STE 1
    NEPTUNE, NJ
    ZIP 07753
  • Phone: (732) 776-4860

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NPI Details

Azam Soroush, MD is a pediatric gastroenterology pediatrics in Neptune, NJ. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. Azam Soroush, MD NPI is 1720057318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

61 DAVIS AVE
STE 1
NEPTUNE, NJ
ZIP 07753-401
Phone: (732) 776-4860
Fax: (732) 776-4867

The enumeration date for this NPI number is 3/16/2006 and was last updated on 1/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric Gastroenterology25MA06860600NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17232306MEDICAIDNEW JERSEY
2G2506MEDICARE UPINNEW JERSEY
3204708UWHMEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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