Individual provider Active NPI

Saima Ijaz Syed, DMD

  • General Practice Dentistry
  • Hackensack, NJ
National Provider Identifier
1487910782
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102490500 Issued in NJ
Practice address
500 S River St
Hackensack, NJ 07601-6651
Phone
(201) 641-5240
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 056950 NY
General Practice Dentistry 1223G0001X 22D102490500 NJ Primary

Addresses

Primary practice location

500 S River St
Hackensack, NJ 07601-6651

Mailing address

203 South Hampton Terrace
203
Edgewater, NJ 07020
Phone (212) 213-4050

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217000656 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143525923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102490500NJMDGeneral Practice Dentistry
056950NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1487910782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SOUTH HAMPTON TERRACE",
            "address_2": "203",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "07020",
            "telephone_number": "212-213-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S RIVER ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016651",
            "telephone_number": "201-641-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "SAIMA",
        "middle_name": "IJAZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056950",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102490500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.