Syiedah Jiles

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

30 Franklin Ave
Maplewood, NJ 07040-2919

Phone

(862) 438-4161

NPI assigned

Apr 10, 2025

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1114712320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 VAUXHALL RD",
            "address_2": "SUITE 7 #1084",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "07088",
            "telephone_number": "908-244-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FRANKLIN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402919",
            "telephone_number": "862-438-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILES",
        "first_name": "SYIEDAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Driver in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.