Healthcare Provider Details

I. General information

NPI: 1073454518
Provider Name (Legal Business Name): RIMSHA YASIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 JAMES ST
EDISON NJ
08820-3947
US

IV. Provider business mailing address

6 GREGORY CT
JAMESBURG NJ
08831-3007
US

V. Phone/Fax

Practice location:
  • Phone: 732-744-5119
  • Fax: 732-744-5782
Mailing address:
  • Phone: 908-294-6591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: