Jacob Zachariah Azzawi, DPM is a
Student In An Organized Health Care Education/training Program based in Utica, New York. Jacob Zachariah Azzawi is licensed to practice in * (Not Available) (license number ) and his current practice location is
120 Hobart St, Utica, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 798-1149.
NPI number for Jacob Zachariah Azzawi is 1881380111 and his current mailing address is 111 Hospital Dr, Utica, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881380111.
Healthcare Provider's Profile
| Full Name | Jacob Zachariah Azzawi |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 120 Hobart St, Utica, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881380111
- Provider Enumeration Date: 04/11/2023
- Last Update Date: 04/07/2026
Medical Identifiers
Medical identifiers for Jacob Zachariah Azzawi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881380111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | SC007453 (Pennsylvania) | Secondary |
| 213E00000X | Podiatrist | 007462 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Zachariah Azzawi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacob Zachariah Azzawi, DPM
111 Hospital Dr,
Utica, NY 13502-2517
Ph: (315) 624-6100 | Jacob Zachariah Azzawi, DPM
120 Hobart St,
Utica, NY 13501-4308
Ph: (315) 798-1149 |
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