Individual provider Active NPI

Imran Rasid

  • Health Service Psychologist
  • Paramus, NJ
National Provider Identifier
1366998353
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Practice address
140 N State RT 17 Ste 250
Paramus, NJ 07652-2821
Phone
(201) 835-0536
Fax
(201) 335-0835
NPI assigned
Aug 30, 2016
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X NU Primary

Addresses

Primary practice location

140 N State RT 17 Ste 250
Paramus, NJ 07652-2821

Mailing address

140 N State RT 17 Ste 250
Paramus, NJ 07652-2821
Phone (201) 835-0536

Other practice location 1

140 N State Rt 17 Ste 250
Paramus, NJ 07652-2821
Phone (201) 835-0536

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1366998353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N STATE RT 17 STE 250",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522821",
            "telephone_number": "201-835-0536",
            "fax_number": "201-335-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N STATE RT 17 STE 250",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522821",
            "telephone_number": "201-835-0536",
            "fax_number": "201-335-0835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N State Rt 17 Ste 250",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076522821",
            "country_code": "US",
            "telephone_number": "201-835-0536",
            "fax_number": "201-335-0835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASID",
        "first_name": "IMRAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.