Healthcare Provider Details

I. General information

NPI: 1134851264
Provider Name (Legal Business Name): HAREEM REHMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BERGEN ST
NEWARK NJ
07103-2496
US

IV. Provider business mailing address

150 BERGEN ST # H245
NEWARK NJ
07103-2496
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-5672
  • Fax: 973-972-0365
Mailing address:
  • Phone: 973-972-5672
  • Fax: 973-972-0365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA12463200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: