Healthcare Provider Details

I. General information

NPI: 1053239178
Provider Name (Legal Business Name): ANDRE RAFIZADEH, MD P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MADISON AVE STE 105
MORRISTOWN NJ
07960-7305
US

IV. Provider business mailing address

101 MADISON AVE STE 105
MORRISTOWN NJ
07960-7305
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-0928
  • Fax:
Mailing address:
  • Phone: 973-267-0928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDRE DARIUS RAFIZADEH
Title or Position: OWNER
Credential: MD
Phone: 973-267-0928