Individual provider Active NPI

Syed Jawad Tirmazi, M.D.

  • Child & Adolescent Psychiatry Physician
  • Colonia, NJ
National Provider Identifier
1073656419
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25MA08976000 Issued in NJ
Practice address
42 N Grant Ave
Colonia, NJ 07067-2208
Phone
(848) 999-9756
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A98405 CA
Psychiatry Physician 2084P0800X 25MA08976000 NJ
Child & Adolescent Psychiatry Physician 2084P0804X 25MA08976000 NJ Primary

Addresses

Primary practice location

42 N Grant Ave
Colonia, NJ 07067-2208

Mailing address

42 N Grant Ave
Colonia, NJ 07067-2208
Phone (848) 999-9756

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000398 NJ Practitioner - Psychiatry 5597919589 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A98405CAMDPsychiatry Physician
25MA08976000NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jul 9, 2018 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Trinitas Physicians Practice, LLC Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Child, Adolescent and Adult Psychiatric Care LLC CurrentSince Feb 21, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Oct 14, 2019 Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Oct 19, 2012 Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients
State of New Jersey Omb Centralized Payroll PastSince Oct 19, 2012 Accepting new patients

Locations

655 E Jersey St
Elizabethport, NJ 07206
Phone (908) 994-7925

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

1691 US Highway 9
Toms River, NJ 08755
Phone (732) 914-1688

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

266 King George Rd
Warren, NJ 07059
Phone (732) 667-7778

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: syed.tirmazi@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1073656419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N GRANT AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672208",
            "telephone_number": "848-999-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N GRANT AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672208",
            "telephone_number": "848-999-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRMAZI",
        "first_name": "SYED",
        "middle_name": "JAWAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A98405",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08976000",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA08976000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

Verify at the official NPI Registry.