Active NPI
Zubaida Sadik, M.D.
- Pediatric Adolescent Medicine Physician
- Freehold, NJ
National Provider Identifier
1639107337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 25MA03680200
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3166805 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03680200 | NJ | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watchung Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- Warren, NJ
- NPI 1225021181
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.