Active NPI
Jumana Amjad Zakaria Al Seidi, M.D
- Student in an Organized Health Care Education/Training Program
- Newark, NJ
National Provider Identifier
1629826987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 111 Central Ave, Newark NJ 07102 USA
Newark, NJ 07102 - Phone
- (973) 342-5212
- Fax
- (973) 877-5367
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
111 Central Ave, Newark NJ 07102 USA
Newark, NJ 07102
Mailing address
101 Asheville Road, Unit 527, Chestnuthill
Unit 527
Chestnut Hill, MA 02467
Phone (857) 999-6435
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1629826987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ASHEVILLE ROAD, UNIT 527, CHESTNUTHILL",
"address_2": "UNIT 527",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "02467",
"telephone_number": "857-999-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE, NEWARK NJ 07102 USA",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07102",
"telephone_number": "973-342-5212",
"fax_number": "973-877-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL SEIDI",
"first_name": "JUMANA",
"middle_name": "AMJAD ZAKARIA",
"name_prefix": "Miss",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.