MEDICARE: DR. SAQUIBA SYED MD

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	208D00000X	General Practice Physician	25MA07514800	NJ
2	207R00000X	Internal Medicine Physician	25MA07514800	NJ
3	207P00000X	Emergency Medicine Physician	25MA07514800	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	:	1639164486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAQUIBA SYED MD

Provider Business Mailing Address
First Line	:	2727 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5507
Country	:	US
Telephone Number	:	201-221-4770
Fax Number	:	631-204-6300

Provider Business Practice Location Address
First Line	:	2727 JOHN F KENNEDY BLVD
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-5507
Country	:	US
Telephone Number	:	201-221-4770
Fax Number	:

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	04/12/2023

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