{
"Npi": {
"NPI": "1790302305",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SYED",
"FirstName": "ASAD",
"MiddleName": "RAZA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3313 203RD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BAYSIDE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11361-1149",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-790-6652",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "185 S ORANGE AVE RM 547",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEWARK",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07103-2757",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-790-6652",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/30/2020",
"LastUpdateDate": "06/04/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207LP2900X",
"TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
"LicenseNumber": "25MB12684900",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}