Active NPI
Sajidah Ijaz Husain, M.D
- Pediatrics Physician
- Red Bank, NJ
National Provider Identifier
1225204852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA04517900
- Practice address
- 211 Shrewsbury Ave
Red Bank, NJ 07701-1250 - Phone
- (732) 212-0777
- NPI assigned
- May 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA04517900 | NJ | Primary |
| Pediatrics Physician | 208000000X | 246362-1 | NY |
Addresses
Primary practice location
211 Shrewsbury Ave
Red Bank, NJ 07701-1250
Mailing address
211 Shrewsbury Ave
Red Bank, NJ 07701-1250
Phone (732) 212-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246362-1 | NY | MD | Licensed Practical Nurse |
| 25MA04517900 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1225204852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SHREWSBURY AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011250",
"telephone_number": "732-212-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SHREWSBURY AVE",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011250",
"telephone_number": "732-212-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "SAJIDAH",
"middle_name": "IJAZ",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-04",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA04517900",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "246362-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.