MEDICARE: DR. ZAHID A FAROOKI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA09326300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578505988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAHID A FAROOKI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 419430
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-9430
Country	:	US
Telephone Number	:	201-666-3900
Fax Number	:	201-261-0505

Provider Business Practice Location Address
First Line	:	1 RUCKMAN RD
Second Line	:
City	:	CLOSTER
State	:	NJ
Zip	:	07624-2100
Country	:	US
Telephone Number	:	201-385-6161
Fax Number	:	201-385-1671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	07/21/2022

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