Healthcare Provider Details
I. General information
NPI: 1669511036
Provider Name (Legal Business Name): SYED A RASHEED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/05/2007
Last Update Date: 04/17/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
140 N STATE RT 17 STE 250
PARAMUS NJ
07652-2821
US
IV. Provider business mailing address
140 N STATE RT 17 STE 250
PARAMUS NJ
07652-2821
US
V. Phone/Fax
- Phone: 201-225-2555
- Fax: 201-773-6739
- Phone: 631-839-1880
- Fax: 201-335-0835
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | 25MA08125900 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 25MA08125900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: