Healthcare Provider Details

I. General information

NPI: 1295942548
Provider Name (Legal Business Name): AAREFA HUZAIFA SHAKIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AAREFA YUSUF FEDERAL MD

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 COUNTY ROAD 520 STE 104
ENGLISHTOWN NJ
07726-8218
US

IV. Provider business mailing address

45 COUNTY ROAD 520 STE 104
ENGLISHTOWN NJ
07726-8218
US

V. Phone/Fax

Practice location:
  • Phone: 732-972-0660
  • Fax: 732-972-1061
Mailing address:
  • Phone: 732-972-0660
  • Fax: 732-972-1061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01063294A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA08284400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: