Healthcare Provider Details

I. General information

NPI: 1184528770
Provider Name (Legal Business Name): MOHAMMED EL-SAYED MOHAMMED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 PEHLE AVE STE 100
SADDLE BROOK NJ
07663-5227
US

IV. Provider business mailing address

160 PEHLE AVE STE 100
SADDLE BROOK NJ
07663-5227
US

V. Phone/Fax

Practice location:
  • Phone: 973-771-3560
  • Fax:
Mailing address:
  • Phone: 973-771-3560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2024-000324
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07452600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: