Healthcare Provider Details

I. General information

NPI: 1801200019
Provider Name (Legal Business Name): ASFI RAFIUDDIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2014
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROSPECT AVE STE 800
HACKENSACK NJ
07601-1974
US

IV. Provider business mailing address

333 WESTCHESTER AVE STE E104
WHITE PLAINS NY
10604-2930
US

V. Phone/Fax

Practice location:
  • Phone: 201-343-6676
  • Fax: 201-343-6689
Mailing address:
  • Phone: 914-428-9213
  • Fax: 914-428-9282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MB10910300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number25MB10910300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: