Active NPIIndividual providerSole proprietor

Tariq Mushtaque, MD CNIM

Specialist/Technologist, Other, Electroneurodiagnostic in Fairfield, New Jersey

NPI Number1790114916
Practice location
700 US Highway 46, Suite 420, Fairfield, NJ 07004-1591
Fax
973-882-3450
Last updated
May 8, 2014

Tariq Mushtaque is a Specialist/Technologist, Other, Electroneurodiagnostic based in Fairfield, NJ. Tariq Mushtaque practices in Fairfield, NJ and has the professional credentials of MD CNIM. The NPI Number for Tariq Mushtaque is 1790114916. The current practice location address for Tariq Mushtaque is 700 US Highway 46, Suite 420, Fairfield, NJ 07004-1591 and can be reached out via phone at 973-882-3456 and via fax at 973-882-3450.

Provider Profile Details

NPI Number
1790114916
Provider Name
Tariq Mushtaque
Credential
MD CNIM
Provider Entity Type
Individual
Gender
Male
Address
700 US Highway 46, Suite 420, Fairfield, NJ 07004-1591
Phone Number
973-882-3456
Fax Number
973-882-3450
Sole Proprietor
Yes
Provider Enumeration Date
November 7, 2013
Last Update Date
May 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 US Highway 46
Suite 420
Fairfield, NJ 07004-1591
Zip
07004-1591
Phone Number
973-882-3456
Fax Number
973-882-3450
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
700 US Highway 46
Suite 420
Fairfield, NJ 07004-1591
City
Fairfield
State
NJ
Zip
07004-1591
Phone Number
973-882-3456
Fax Number
973-882-3450

License Information

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 Tariq Mushtaque, MD CNIM?

The NPI number of Tariq Mushtaque, MD CNIM is 1790114916. It was assigned on November 7, 2013 and is currently active in the NPPES registry.

What is the specialty of Tariq Mushtaque, MD CNIM?

Tariq Mushtaque, MD CNIM is registered under the primary taxonomy Specialist/Technologist, Other, Electroneurodiagnostic (code 246ZE0600X).

Where does Tariq Mushtaque, MD CNIM practice?

The practice location is 700 US Highway 46, Suite 420, Fairfield, NJ 07004-1591. The office can be reached at 973-882-3456 (phone) or 973-882-3450 (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 1790114916 directly on the NPPES registry website.

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