NPIMap

Individual provider Active NPI

Syed K. Sirajuddin, MD

  • Family Medicine Physician
  • Bayonne, NJ
National Provider Identifier
1710114301
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09065400 Issued in NJ
Practice address
506 Broadway
Bayonne, NJ 07002-3712
Phone
(201) 471-7015
NPI assigned
Jun 22, 2009
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09065400 NJ Primary

Addresses

Primary practice location

506 Broadway
Bayonne, NJ 07002-3712

Mailing address

714 10TH St
Secaucus, NJ 07094-2921
Phone (201) 865-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000036 NJ Practitioner - Family Practice 8022267251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sea Health and Wellness LLCGroup PAC ID 3375029911, 2 clinicians

Practice addresses (Care Compare)

363 Prospect Ave
FL 3
Hackensack, NJ 07601-2505
Phone (551) 363-4732

714 10TH St
Secaucus, NJ 07094-2921
Phone 20186333460000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Sea Health and Wellness LLC Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Advanced Laparoscopic Associates Past Accepting new patients

Locations

506 Broadway
Bayonne, NJ 07002
Phone (201) 471-7012

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

363 Prospect Ave
Fl 3
Hackensack, NJ 07601
Phone (201) 696-6426

609 Washington St
#1
Hoboken, NJ 07030
Phone (201) 706-8488

200 Main St
Ridgefield Park, NJ 07660
Phone (201) 863-3346

38 Meadowlands Pkwy
Ste 2
Secaucus, NJ 07094
Phone (201) 864-6868

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHFAED/Endpoint/JHFAED
  • Direct secure messaging: ssirajuddin77271@direct.optum.com
  • Direct secure messaging: syed.sirajuddin@direct.hobokenumc.md

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1710114301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 10TH ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942921",
            "telephone_number": "201-865-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023712",
            "telephone_number": "201-471-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAJUDDIN",
        "first_name": "SYED",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09065400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.