Healthcare Provider Details

I. General information

NPI: 1255834370
Provider Name (Legal Business Name): BISHOY SAAD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2018
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 TOWN SQUARE PL STE 208
JERSEY CITY NJ
07310-2778
US

IV. Provider business mailing address

379 CAMPUS DR FL 4
SOMERSET NJ
08873-1161
US

V. Phone/Fax

Practice location:
  • Phone: 201-716-5850
  • Fax:
Mailing address:
  • Phone: 732-937-8939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number25MB12255100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25MB12255100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: