Individual provider Active NPI

Syeda Amna Husain, MD

  • Pediatrics Physician
  • Marlboro, NJ
National Provider Identifier
1629463468
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA10372500 Issued in NJ
Practice address
479 County Road 520 Ste A201
Marlboro, NJ 07746
Phone
(732) 786-3484
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA10372500 NJ Primary

Addresses

Primary practice location

479 County Road 520 Ste A201
Marlboro, NJ 07746

Mailing address

479 County Road 520 Ste A201
Marlboro, NJ 07746-1087
Phone (732) 786-3484

Other practice location 1

479 County Road 520 Ste A201
Marlboro, NJ 07746
Phone (732) 786-3484

Other practice location 2

3800 Reservoir Rd NW
Dept of Pediatrics
Washington, DC 20007-2113
Phone (202) 243-3434

Other names 1

  • Syeda Amna Ahmed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 21, 2019 through May 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10372500NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noor Dermatology and Aesthetics PLLC PastSince Mar 5, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1629463468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 COUNTY ROAD 520 STE A201",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461087",
            "telephone_number": "732-786-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 COUNTY ROAD 520 STE A201",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "07746",
            "telephone_number": "732-786-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "479 County Road 520 Ste A201",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NJ",
            "postal_code": "07746",
            "country_code": "US",
            "telephone_number": "732-786-3484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_2": "Dept of Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-243-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSAIN",
        "first_name": "SYEDA AMNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10372500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYEDA",
            "last_name": "AHMED",
            "middle_name": "AMNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.