Healthcare Provider Details

I. General information

NPI: 1114776382
Provider Name (Legal Business Name): HAZRAT SAEED NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 CHRISTOPHER COLUMBUS DR STE 1
JERSEY CITY NJ
07302-5526
US

IV. Provider business mailing address

115 CHRISTOPHER COLUMBUS DR STE 1
JERSEY CITY NJ
07302-5526
US

V. Phone/Fax

Practice location:
  • Phone: 201-451-6300
  • Fax:
Mailing address:
  • Phone: 201-451-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15074100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: