Organization Active NPI

Srha Med LLC

  • Internal Medicine Physician
  • Jersey City, NJ
National Provider Identifier
1023827466
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SRHA MED LLC
Practice address
111 Town Square PL Ste 1238
Jersey City, NJ 07310-1810
Phone
(732) 476-4942
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Syed HassanNPI 1891922589
Title
Owner
Phone
(732) 476-4942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

111 Town Square PL Ste 1238
Jersey City, NJ 07310-1810

Mailing address

99 Highway 37 W
Toms River, NJ 08755-6423
Phone (732) 476-4942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250131000099 NJ Part B Supplier - Clinic/Group Practice 8426587783 Receives reassigned benefits from 2 practitioners
Practice locations: Clark, NJ; Cranford, NJ; Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

600 Lincoln Park E
Cranford, NJ 07016
Phone (908) 276-7100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1023827466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HIGHWAY 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556423",
            "telephone_number": "732-476-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PL STE 1238",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101810",
            "telephone_number": "732-476-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRHA MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-476-4942"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.