MEDICARE: JAFAR KAFAIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	25MA12773400	NJ
2	2084N0400X	Neurology Physician	25MA12773400	NJ
3	2084N0400X	Neurology Physician	2009010071	MO

General Provider Information

NPI Number	:	1467616094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAFAR KAFAIE MD

Provider Business Mailing Address
First Line	:	1008 S SPRING AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-2520
Country	:	US
Telephone Number	:	314-977-4866
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 FROM RD STE 506
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3517
Country	:	US
Telephone Number	:	551-996-8100
Fax Number	:	551-996-4140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	09/12/2025

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Directions to “ JAFAR KAFAIE MD” Practice Location

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