Individual provider Active NPI

Samina Altaf Syed-Naqvi, M.D.

  • Internal Medicine Physician
  • Avenel, NJ
National Provider Identifier
1306998752
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07505700 Issued in NJ
Practice address
415 Avenel St # B
Avenel, NJ 07001-1147
Phone
(732) 634-4300
Fax
(732) 634-4302
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07505700 NJ Primary

Addresses

Primary practice location

415 Avenel St # B
Avenel, NJ 07001-1147

Mailing address

415 Avenel St Ste B
Avenel, NJ 07001-1147
Phone (732) 634-4300

Other practice location 1

1893 Eastern Pkwy
Brooklyn, NY 11233-3214
Phone (718) 385-7373

Other practice location 2

1893 Eastern Pkwy
Brooklyn, NY 11233-3214
Phone (718) 385-7373

Other identifiers 1

IdentifierTypeStateIssuer
0150452MedicaidNJ

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
I20080303000026 NJ Practitioner - Internal Medicine 0345222006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Hypertension and Kidney Diseases, P.C.Group PAC ID 8820189129, 7 clinicians

Practice addresses (Care Compare)

546 Saint Georges Ave
Rahway, NJ 07065-2542
Phone (732) 381-3642

Hospital & facility affiliations

  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services Internal Medicine CurrentSince May 29, 2021 Accepting new patients
Institute for Hypertension and Kidney Diseases PC Internal Medicine CurrentSince Jan 18, 2022 Accepting new patients

Locations

415 Avenel St
Ste B
Avenel, NJ 07001
Phone (732) 634-4300

10 Parsonage Rd
Ste 410
Edison, NJ 08837
Phone (732) 659-9524

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306998752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST STE B",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-634-4300",
            "fax_number": "732-634-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AVENEL ST # B",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011147",
            "telephone_number": "732-634-4300",
            "fax_number": "732-634-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1893 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112333214",
            "country_code": "US",
            "telephone_number": "718-385-7373",
            "fax_number": "718-385-4759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1893 Eastern Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112333214",
            "country_code": "US",
            "telephone_number": "718-385-7373",
            "fax_number": "718-385-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED-NAQVI",
        "first_name": "SAMINA",
        "middle_name": "ALTAF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07505700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150452",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

Verify at the official NPI Registry.