Organization Active NPI

Zeba S. Nizam, MD, LLC

  • Geriatric Psychiatry Physician
  • Edison, NJ
National Provider Identifier
1770749095
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MA677190 Issued in NJ
Legal business name
ZEBA S. NIZAM, MD, LLC
Practice address
98 James St
Suite 301
Edison, NJ 08820-3902
Phone
(732) 494-0100
Fax
(732) 494-0114
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Zeba S Nizam, MD
Title
Psychiatrist
Phone
(732) 494-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X MA677190 NJ Primary

Addresses

Primary practice location

98 James St
Suite 301
Edison, NJ 08820-3902

Mailing address

98 James St
Suite 301
Edison, NJ 08820-3902
Phone (732) 494-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1770749095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 JAMES ST",
            "address_2": "SUITE 301",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-494-0100",
            "fax_number": "732-494-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 JAMES ST",
            "address_2": "SUITE 301",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203902",
            "telephone_number": "732-494-0100",
            "fax_number": "732-494-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEBA S. NIZAM, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "NIZAM",
        "authorized_official_first_name": "ZEBA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "732-494-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "MA677190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.