Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Samreen Tariq

Individual provider Family Medicine Physician · NPI 1164803714

Dr. Samreen Tariq is a Family Practice in Bayonne, New Jersey. Qualified in 2011, 15 years ago. Practices with Dominick Condo, MD PA, a 4-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Licensed in
NJ
In the registry since
2015

Practice location Address checks out

622 Broadway
Bayonne, NJ 07002-3821
Phone: (201) 436-2800
Fax: (201) 436-1353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA10422400 (NJ)

Record details

NPI number1164803714
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2015
Last updated in NPPESMarch 18, 2019
Mailing address622 Broadway, Bayonne, NJ 07002-3821

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dominick Condo, Md Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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