Individual provider Active NPI

Muhammad Zain Raza, MD

  • Student in an Organized Health Care Education/Training Program
  • Statford, NJ
National Provider Identifier
1811745839
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
18 East Laurel Road, Em Admin Office
Statford, NJ 08084
Phone
(609) 206-4068
NPI assigned
May 7, 2024
Reactivated
Feb 3, 2025
Sex
Male
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

NPPES NPI Registry

Primary practice location

18 East Laurel Road, Em Admin Office
Statford, NJ 08084

Mailing address

18 East Laurel Road, Em Admin Office
Statford, NJ 08084
Phone (609) 206-4068

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2025.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1811745839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EAST LAUREL ROAD, EM ADMIN OFFICE",
            "city": "STATFORD",
            "state": "NJ",
            "postal_code": "08084",
            "telephone_number": "609-206-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 EAST LAUREL ROAD, EM ADMIN OFFICE",
            "city": "STATFORD",
            "state": "NJ",
            "postal_code": "08084",
            "telephone_number": "609-206-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "MUHAMMAD",
        "middle_name": "ZAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-02-03",
        "deactivation_date": "2025-01-09",
        "reactivation_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.