Provider Demographics
NPI:1639377229
Name:NIAZI, MOHAMMAD ZAFAR
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:ZAFAR
Last Name:NIAZI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOMESTEAD PL
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2816
Mailing Address - Country:US
Mailing Address - Phone:973-879-1894
Mailing Address - Fax:
Practice Address - Street 1:140 N STATE RT 17 STE 250
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2821
Practice Address - Country:US
Practice Address - Phone:973-349-7490
Practice Address - Fax:201-225-2556
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA083097002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry