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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497459820

Jasmine Mortazavi, MD is a Student in an Organized Health Care Education/Training Program in Summit, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
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

99 Beauvoir Ave
Summit, NJ 07901-3533
Phone: (908) 522-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1497459820
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address201 Michigan St Nw Apt 804, Grand Rapids, MI 49503-2329

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