Healthcare Provider Details

I. General information

NPI: 1346274966
Provider Name (Legal Business Name): RJ SAYEGH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 06/08/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 ALLWOOD RD
CLIFTON NJ
07012-6800
US

IV. Provider business mailing address

495 ALLWOOD RD UNIT 1237
CLIFTON NJ
07012-6811
US

V. Phone/Fax

Practice location:
  • Phone: 973-346-7879
  • Fax:
Mailing address:
  • Phone: 973-346-7879
  • Fax: 973-810-4574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number227084
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number25MA09056500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: