Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ignazio Fazio, MD

Individual provider Nephrology Physician · NPI 1972500528

Dr. Ignazio Fazio, MD is a Nephrology in Wayne, New Jersey. Graduated from State University of Ny Upstate Medical University in 1989, 37 years ago. Practices with Suburban Nephrology Group PA, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
37
Trained at
State University of Ny Upstate Medical University
Licensed in
NJ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

342 Hamburg Tpke Ste 201
Wayne, NJ 07470-2162
Phone: (973) 389-1119
Fax: (973) 389-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MA06047400 (NJ)

Record details

NPI number1972500528
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESMarch 1, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1989 (37 years in practice)
Group practice Suburban Nephrology Group Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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