Active NPIIndividual providerSole proprietor

Dr. Samreen Tariq

Family Medicine in Bayonne, New Jersey

NPI Number1164803714
Practice location
622 Broadway, Bayonne, NJ 07002-3821
Fax
201-436-1353
Last updated
March 18, 2019

Samreen Tariq is a Family Medicine based in Bayonne, NJ. Samreen Tariq practices in Bayonne, NJ. The NPI Number for Samreen Tariq is 1164803714 and holds a License No. 25MA10422400 (NJ). The current practice location address for Samreen Tariq is 622 Broadway, Bayonne, NJ 07002-3821 and can be reached out via phone at 201-436-2800 and via fax at 201-436-1353.

Provider Profile Details

NPI Number
1164803714
Provider Name
Samreen Tariq
Provider Entity Type
Individual
Gender
Female
Address
622 Broadway, Bayonne, NJ 07002-3821
Phone Number
201-436-2800
Fax Number
201-436-1353
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 9, 2015
Last Update Date
March 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
622 Broadway
Bayonne, NJ 07002-3821
Zip
07002-3821
Phone Number
201-436-2800
Fax Number
201-436-1353
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
622 Broadway
Bayonne, NJ 07002-3821
City
Bayonne
State
NJ
Zip
07002-3821
Phone Number
201-436-2800
Fax Number
201-436-1353

License Information

License Number
25MA10422400
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Samreen Tariq?

The NPI number of Dr. Samreen Tariq is 1164803714. It was assigned on June 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Samreen Tariq?

Dr. Samreen Tariq is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10422400.

Where does Dr. Samreen Tariq practice?

The practice location is 622 Broadway, Bayonne, NJ 07002-3821. The office can be reached at 201-436-2800 (phone) or 201-436-1353 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164803714 directly on the NPPES registry website.

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