Healthcare Provider Details

I. General information

NPI: 1922145879
Provider Name (Legal Business Name): SNS RHEUMATOLOGY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 WHITEHORSE MERCERVILLE RD STE J
HAMILTON NJ
08619-1946
US

IV. Provider business mailing address

101 PROSPECT ST SUITE 216
LAKEWOOD NJ
08701-5020
US

V. Phone/Fax

Practice location:
  • Phone: 609-203-2041
  • Fax: 609-689-0567
Mailing address:
  • Phone: 732-370-7717
  • Fax: 732-370-6519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA06675500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number26NN0165500
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA0767440
License Number StateNJ

VIII. Authorized Official

Name: DR. QAISAR H USMANI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 609-689-1229