Organization Active NPI

Syed M Rizvi MD LLC

  • Psychiatry Physician
  • Media, PA
National Provider Identifier
1013048354
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD421641 Issued in PA
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

Updated by the provider on Sep 25, 2009

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1642940OtherHIGHMARK BLUE SHIELD
2862828000OtherAMERIHEALTH PPO
7401590OtherAETNA
1948986OtherPREMIER BLUE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.