Individual provider Active NPI

Saeid M Bayoumi, PHARMD

  • Pharmacist
  • Cliffside Park, NJ
National Provider Identifier
1578288486
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04273400 Issued in NJ
Practice address
673 Palisade Ave
Cliffside Park, NJ 07010-3030
Phone
(201) 943-2401
NPI assigned
Oct 4, 2022
Last updated
Oct 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04273400 NJ Primary

Addresses

Primary practice location

673 Palisade Ave
Cliffside Park, NJ 07010-3030

Mailing address

196 Martin Luther King Jr Dr Apt 209
Jersey City, NJ 07305-3654

Other practice location 1

196 Martin Luther King Jr Dr Apt 209
Jersey City, NJ 07305-3654
Phone (201) 946-7007

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 Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI04273400NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Pharmacy CurrentSince Oct 9, 2022 Accepting new patients

Locations

673 Palisade Ave
Cliffside Park, NJ 07010
Phone (201) 943-2401

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1578288486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 MARTIN LUTHER KING JR DR APT 209",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 PALISADE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103030",
            "telephone_number": "201-943-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Martin Luther King Jr Dr Apt 209",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073053654",
            "country_code": "US",
            "telephone_number": "201-946-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYOUMI",
        "first_name": "SAEID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04273400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.