Individual provider Active NPI

Zain U Memon, MD

  • Psychiatry Physician
  • Chatham, NJ
National Provider Identifier
1104320522
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA11408700 Issued in NJ
Practice address
97 Main St Ste 102
Chatham, NJ 07928-2421
Phone
(201) 472-0685
Fax
(201) 589-2260
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 1104320522 PA
Psychiatry Physician 2084P0800X 25MA11408700 NJ Primary
Psychiatry Physician 2084P0800X 320125 NY

Addresses

Primary practice location

97 Main St Ste 102
Chatham, NJ 07928-2421

Mailing address

1501 Stallion Cir E
Toms River, NJ 08755-1609

Other practice location 1

1501 Stallion Cir E
Toms River, NJ 08755-1609
Phone (848) 239-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241002004170 NJ Practitioner - Psychiatry 8022549948 Reassigns benefits to 2 organizations
I20250820003101 NY Practitioner - Psychiatry 8022549948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 Stallion Cir E
Toms River, NJ 08755-1609

3047 Ave U
Brooklyn, NY 11229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11408700NJMDPsychiatry Physician
320125NYMDPsychiatry Physician
1104320522PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince Jul 19, 2024 Accepting new patients
Mental Health Services LLC CurrentSince Nov 26, 2023 Accepting new patients
Mindful Healing Psychiatry Inc CurrentSince Mar 1, 2024 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jul 19, 2024 Accepting new patients
Brick Psychiatric Services Inc Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Good Health Psychiatric Services PC Psychiatry CurrentSince Aug 1, 2025 Accepting new patients
Rudoy Medical PC Psychiatry Past Accepting new patients

Locations

2640 Route 70
Bldg 12
Manasquan, NJ 08736
Phone (732) 202-0622

128 S Euclid Ave
Westfield, NJ 07090
Phone (908) 509-8336

26 Court St
Ste 1510
Brooklyn, NY 11242
Phone (718) 522-3600

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

Organizations & group practices 7

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1104320522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STALLION CIR E",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551609",
            "fax_number": "201-589-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST STE 102",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282421",
            "telephone_number": "201-472-0685",
            "fax_number": "201-589-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Stallion Cir E",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087551609",
            "country_code": "US",
            "telephone_number": "848-239-8008",
            "fax_number": "201-589-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMON",
        "first_name": "ZAIN",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "1104320522",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11408700",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "320125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.