Healthcare Provider Details

I. General information

NPI: 1720513112
Provider Name (Legal Business Name): SAAD RIAZ D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 KENNEDY BLVD STE 850
EAST BRUNSWICK NJ
08816-1258
US

IV. Provider business mailing address

352 WAYNE ST
JERSEY CITY NJ
07302-3221
US

V. Phone/Fax

Practice location:
  • Phone: 973-449-5132
  • Fax:
Mailing address:
  • Phone: 973-449-5132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number307352-01
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MB10660700
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number25MB10660700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: