MEDICARE: WAYNE BEHAVIORAL SERVICE, LLC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1487677795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAYNE BEHAVIORAL SERVICE, LLC

Provider Business Mailing Address
First Line	:	401 HAMBURG TPKE
Second Line	:	SUITE 302
City	:	WAYNE
State	:	NJ
Zip	:	07470-2154
Country	:	US
Telephone Number	:	973-790-9222
Fax Number	:	973-790-0671

Provider Business Practice Location Address
First Line	:	401 HAMBURG TPKE
Second Line	:	STE. 302
City	:	WAYNE
State	:	NJ
Zip	:	07470-2139
Country	:	US
Telephone Number	:	973-790-9222
Fax Number	:	973-790-0671

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MOHAMED A ELRAFEI
Credential	:	MD
Telephone Number	:	973-790-9222

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/22/2014

Similar Medicare Providers

1023965936 — ARIEL AVION VASSEL PMHNP-BC
Practice Location Address:

401 HAMBURG TPKE STE 302
WAYNE, NJ
07470-2139

Practice Phone: 973-790-9222
Practice Fax:

1467473215 — LAURA COHEN LCSW
Practice Location Address:

401 HAMBURG TPKE STE 302
WAYNE, NJ
07470-2139

Practice Phone: 973-790-9222
Practice Fax: 973-790-9222

1144337908 — DR. NABIL M YAZGI MD, PA
Practice Location Address:

401 HAMBURG TPKE STE 102
WAYNE, NJ
07470-2139

Practice Phone: 973-790-1180
Practice Fax: 973-790-0712

1073660247 — WAYNE PHYSICAL THERAPY LLC
Practice Location Address:

401 HAMBURG TPKE STE 102
WAYNE, NJ
07470-2139

Practice Phone: 201-794-2121
Practice Fax: 201-794-6003

1689721862 — MR. BOEMBOY M VENDIOLA
Practice Location Address:

401 HAMBURG TPKE STE 102
WAYNE, NJ
07470-2139

Practice Phone: 201-794-2121
Practice Fax:

1598899015 — EMAD MOUNIR M.D.
Practice Location Address:

401 HAMBURG TPKE STE 302
WAYNE, NJ
07470-2139

Practice Phone: 973-790-9222
Practice Fax: 973-790-0671

Directions to “WAYNE BEHAVIORAL SERVICE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.