Provider Demographics
NPI:1144216144
Name:SYED S JAFRI MD
Entity Type:Organization
Organization Name:SYED S JAFRI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:S
Authorized Official - Last Name:JAFRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-890-0710
Mailing Address - Street 1:PO BOX 8552
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-8552
Mailing Address - Country:US
Mailing Address - Phone:973-890-0710
Mailing Address - Fax:973-256-7376
Practice Address - Street 1:8534 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4369
Practice Address - Country:US
Practice Address - Phone:201-854-2774
Practice Address - Fax:201-854-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA054477002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5254400Medicaid
NJ119842Medicare ID - Type Unspecified
NJF38888Medicare UPIN