Active NPI
Tehsin Riaz Qudsi, M.D.
- Pediatrics Physician
- Jackson, NJ
National Provider Identifier
1003852542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA05807600
- Practice address
- 27 S Cooks Bridge Rd
Suite 2-21
Jackson, NJ 08527-2524 - Phone
- (732) 987-5733
- Fax
- (732) 987-5729
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA05807600 | NJ | Primary |
Addresses
Primary practice location
27 S Cooks Bridge Rd
Suite 2-21
Jackson, NJ 08527-2524
Mailing address
27 S Cooks Bridge Rd
Suite 2-21
Jackson, NJ 08527-2524
Phone (732) 987-5733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05807600 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1003852542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 S COOKS BRIDGE RD",
"address_2": "SUITE 2-21",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085272524",
"telephone_number": "732-987-5733",
"fax_number": "732-987-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 S COOKS BRIDGE RD",
"address_2": "SUITE 2-21",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085272524",
"telephone_number": "732-987-5733",
"fax_number": "732-987-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUDSI",
"first_name": "TEHSIN",
"middle_name": "RIAZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA05807600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.