Individual provider Active NPI

Zaid Sika Iddrisu

  • Psychiatric/Mental Health Nurse Practitioner
  • Belle Mead, NJ
National Provider Identifier
1023886371
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14972300 Issued in NJ
Practice address
252 County Road 601
Belle Mead, NJ 08502-3923
Phone
(646) 406-6497
NPI assigned
Dec 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14972300 NJ Primary

Addresses

Primary practice location

252 County Road 601
Belle Mead, NJ 08502-3923

Mailing address

252 County Road 601
Belle Mead, NJ 08502-3923
Phone (646) 406-6497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306000937 NJ Practitioner - Nurse Practitioner 8921444555 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Memory and Behavioral CareGroup PAC ID 7719013267, 71 clinicians

Practice addresses (Care Compare)

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106
Phone (973) 295-6335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14972300NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Feb 19, 2024 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Feb 19, 2024 Accepting new patients
Bliss Behavioral Health CurrentSince Sep 1, 2025 Accepting new patients
NJ Memory and Behavioral Care CurrentSince Oct 1, 2024 Accepting new patients

Locations

14 Ridgedale Ave
Ste 103
Cedar Knolls, NJ 07927
Phone (973) 295-6335

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

1346 How Ln
#32
North Brunswick, NJ 08902
Phone (732) 365-4980

575 Route 28
Bldg 2
Raritan, NJ 08869
Phone (973) 295-6335

61 Veronica Ave
Somerset, NJ 08873
Phone (732) 679-4500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1023886371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 COUNTY ROAD 601",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085023923",
            "telephone_number": "646-406-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 COUNTY ROAD 601",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085023923",
            "telephone_number": "646-406-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKA IDDRISU",
        "first_name": "ZAID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14972300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Mead, NJ

Sources for this page

Verify at the official NPI Registry.