Individual provider Active NPI

Zubaida Sadik, M.D.

  • Pediatric Adolescent Medicine Physician
  • Freehold, NJ
National Provider Identifier
1639107337
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25MA03680200 Issued in NJ
Practice address
495 Iron Bridge Rd
Suite One
Freehold, NJ 07728-5306
Phone
(732) 577-0047
Fax
(732) 577-1324
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 25MA03680200 NJ Primary

Addresses

Primary practice location

495 Iron Bridge Rd
Suite One
Freehold, NJ 07728-5306

Mailing address

1 Walnut GRV
Colts Neck, NJ 07722-2115
Phone (732) 577-9836

Other identifiers 1

IdentifierTypeStateIssuer
3166805MedicaidNJ

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

State licenses

LicenseStateTypeSpecialty
25MA03680200NJMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Watchung Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: zsadik77303@direct.optum.com

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1639107337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALNUT GRV",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222115",
            "telephone_number": "732-577-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 IRON BRIDGE RD",
            "address_2": "SUITE ONE",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285306",
            "telephone_number": "732-577-0047",
            "fax_number": "732-577-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIK",
        "first_name": "ZUBAIDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA03680200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3166805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.