Organization Active NPI

Sina Zaim, M.D. LLC

  • Specialist
  • Maywood, NJ
National Provider Identifier
1730113994
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07284700 Issued in NJ
Legal business name
SINA ZAIM, M.D. LLC
Practice address
255 W Spring Valley Ave
Suite 205
Maywood, NJ 07607-1445
Phone
(201) 546-8746
Fax
(800) 549-5893
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Sina Zaim, M.D.
Title
President
Phone
(201) 546-8746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA07284700 NJ Primary

Addresses

Primary practice location

255 W Spring Valley Ave
Suite 205
Maywood, NJ 07607-1445

Mailing address

255 W Spring Valley Ave
Suite 205
Maywood, NJ 07607-1445
Phone (201) 546-8746

Other identifiers 1

IdentifierTypeStateIssuer
6080405MedicaidNJ

National Provider Directory

National Provider Directory

Locations

255 W Spring Valley Ave
Ste 205
Maywood, NJ 07607
Phone (201) 546-8510

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1730113994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "SUITE 205",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "201-546-8746",
            "fax_number": "800-549-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "address_2": "SUITE 205",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "201-546-8746",
            "fax_number": "800-549-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA ZAIM, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "ZAIM",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-546-8746",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07284700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6080405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.