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

Omid Ezati, MD

Individual provider Diagnostic Radiology Physician · NPI 1518120658

Omid Ezati, MD is a Diagnostic Radiology in Princeton, New Jersey. Qualified in 2008, 18 years ago. Practices with Adirondack Radiology Associates PC, an 18-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
18
Licensed in
CO
In the registry since
2008
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

401 Barclay Blvd
Princeton, NJ 08540-5877
Phone: (609) 955-6252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence DR.0056728 (CO)

Record details

NPI number1518120658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2008
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address401 Barclay Blvd, Princeton, NJ 08540-5877

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Adirondack Radiology Associates Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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