1982675476 NPI number — SYED ARIF ZAIDI M.D.

Table of content: SYED ARIF ZAIDI M.D. (NPI 1982675476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982675476 NPI number — SYED ARIF ZAIDI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAIDI
Provider First Name:
SYED
Provider Middle Name:
ARIF
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982675476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/28/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
57 MORRISON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLOSTER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07624-1128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-750-1577
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
294 STATE ST
Provider Second Line Business Practice Location Address:
STE 2
Provider Business Practice Location Address City Name:
HACKENSACK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07601-5518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-342-4004
Provider Business Practice Location Address Fax Number:
201-342-4208
Provider Enumeration Date:
02/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  25MA6506500 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)