Provider Demographics
NPI:1750452546
Name:ZAIDI, SYED SAJJAD A (MD)
Entity Type:Individual
Prefix:MR
First Name:SYED SAJJAD
Middle Name:A
Last Name:ZAIDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 IRON BRIDGE RD.
Mailing Address - Street 2:SUITE 6
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-761-1900
Mailing Address - Fax:732-761-2388
Practice Address - Street 1:501 IRON BRIDGE RD.
Practice Address - Street 2:SUITE 6
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-761-1900
Practice Address - Fax:732-761-2388
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA053963002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5460409Medicaid
NJ5460409Medicaid
NJE86259Medicare UPIN