Individual provider Active NPI

Haris Syed, DPT

  • Physical Therapist
  • East Brunswick, NJ
National Provider Identifier
1104545011
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02112300 Issued in NJ
Practice address
647 Route 18 Unit 1
East Brunswick, NJ 08816-3747
Phone
(732) 390-8100
NPI assigned
Aug 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02112300 NJ Primary

Addresses

Primary practice location

647 Route 18 Unit 1
East Brunswick, NJ 08816-3747

Mailing address

3 Sophie St
Parlin, NJ 08859-1174
Phone (732) 543-4729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220920001980 NJ Practitioner - Physical Therapist in Private Practice 4284019787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Physical TherapyGroup PAC ID 1456648260, 9 clinicians

Practice addresses (Care Compare)

647 Route 18
Suite I
East Brunswick, NJ 08816-3747
Phone (732) 390-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Physical Therapy Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Twin Boro Physical Therapy Associates PA Physical Therapist CurrentSince Aug 30, 2022 Accepting new patients
Mobile Rehab Experts LLC Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Twin Boro Physical Therapy Associates, PA CurrentSince Aug 30, 2022 Accepting new patients

Locations

647 Route 18
Ste I
East Brunswick, NJ 08816
Phone (732) 390-8100

9 State Route 27
Ste E
Edison, NJ 08820
Phone (732) 321-1855

1801 Main St
Ste 1B
Lake Como, NJ 07719
Phone (732) 256-1758

2050 State Route 27
Ste 107
North Brunswick, NJ 08902
Phone (732) 745-2727

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1104545011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SOPHIE ST",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591174",
            "telephone_number": "732-543-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 ROUTE 18 UNIT 1",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163747",
            "telephone_number": "732-390-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "HARIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02112300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.