NPIMap

Individual provider Active NPI

Syed Raza, MD

  • Nephrology Physician
  • Paramus, NJ
National Provider Identifier
1790766814
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA07221800 Issued in NJ
Practice address
1 Kalisa Way
Suite 210
Paramus, NJ 07652
Phone
(201) 447-0013
Fax
(201) 255-4515
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA07221800 NJ Primary

Addresses

Primary practice location

1 Kalisa Way
Suite 210
Paramus, NJ 07652

Mailing address

1 Kalisa Way
Suite 210
Paramus, NJ 07652
Phone (201) 447-0013

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
I20101027000568 NJ Practitioner - NephrologyPractitioner - Internal Medicine 4880888536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Hypertension and Renal AssocGroup PAC ID 0749249720, 7 clinicians

Practice addresses (Care Compare)

1 Kalisa Way
Suite 210
Paramus, NJ 07652-3538
Phone (201) 447-0013

Hospital & facility affiliations

  • DaVita Paramus Dialysis facility, Paramus, NJ, CCN 312708
  • DaVita Hackensack Dialysis Dialysis facility, Maywood, NJ, CCN 312615
  • DaVita Radburn Dialysis Dialysis facility, Fair Lawn, NJ, CCN 312637
  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212872NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Mar 25, 2020 Accepting new patients
Bergen Hypertension & Renal Assoc Nephrology CurrentSince Jul 1, 2002 Accepting new patients

Locations

44 Godwin Ave
Ste 301
Midland Park, NJ 07432
Phone (201) 447-0013

1 Kalisa Way
Ste 210
Paramus, NJ 07652
Phone (201) 447-0013

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1790766814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KALISA WAY",
            "address_2": "SUITE 210",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-447-0013",
            "fax_number": "201-255-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KALISA WAY",
            "address_2": "SUITE 210",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-447-0013",
            "fax_number": "201-255-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-10-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA07221800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.