Active NPI
Syed M Rizvi MD LLC
- Psychiatry Physician
- Media, PA
National Provider Identifier
1013048354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD421641
- Legal business name
- SYED M RIZVI MD LLC
- Practice address
- 340 N Middletown Rd
Media, PA 19063-5505 - Phone
- (610) 891-5840
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed M Rizvi, M.D.
- Title
- President
- Phone
- (610) 291-2269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD421641 | PA | Primary |
Addresses
Primary practice location
340 N Middletown Rd
Media, PA 19063-5505
Mailing address
PO Box 162
Wynnewood, PA 19096-0162
Phone (610) 291-2269
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1642940 | Other | HIGHMARK BLUE SHIELD | |
| 2862828000 | Other | AMERIHEALTH PPO | |
| 7401590 | Other | AETNA | |
| 1948986 | Other | PREMIER BLUE |
National Provider Directory
National Provider DirectoryLocations
525 W Chester Pike
Ste 102A
Havertown, PA 19083
Phone (610) 446-3650
525 W Chester Pike
Ste 305
Havertown, PA 19083
Phone (610) 446-3651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Havertown, PA
- NPI 1801306014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253836800000",
"number": "1013048354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190960162",
"telephone_number": "610-291-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 N MIDDLETOWN RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635505",
"telephone_number": "610-891-5840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYED M RIZVI MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2009-09-25",
"status": "A",
"authorized_official_last_name": "RIZVI",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-291-2269",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD421641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1642940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "2862828000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7401590",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER BLUE",
"identifier": "1948986",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.