Healthcare Provider Details

I. General information

NPI: 1871029199
Provider Name (Legal Business Name): SAIRA ZAFAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 E WILLOW ST
MILLBURN NJ
07041-1417
US

IV. Provider business mailing address

90 BERGEN ST # 4700
NEWARK NJ
07103-2425
US

V. Phone/Fax

Practice location:
  • Phone: 973-376-8500
  • Fax: 973-376-6295
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1871029199
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number25MA10960300
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number1871029199
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: