Organization Active NPI

Hayder Medical

  • Pulmonary Disease Physician
  • Johnstown, PA
National Provider Identifier
1891578852
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
HAYDER MEDICAL
Practice address
121 Stonybrook LN
Johnstown, PA 15904-3751
Phone
(312) 340-1703
NPI assigned
Aug 15, 2023
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Dr. Syed Zain Ayaz, MD
Title
Owner
Phone
(312) 340-1703

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

121 Stonybrook LN
Johnstown, PA 15904-3751

Mailing address

121 Stonybrook LN
Johnstown, PA 15904-3751
Phone (312) 340-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012003755 PA Part B Supplier - Clinic/Group Practice 3375998297 Receives reassigned benefits from 1 practitioner
Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1891578852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STONYBROOK LN",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043751",
            "telephone_number": "312-340-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STONYBROOK LN",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043751",
            "telephone_number": "312-340-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYDER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "AYAZ",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ZAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-340-1703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.