Healthcare Provider Details

I. General information

NPI: 1225487200
Provider Name (Legal Business Name): AYESHA ASHRAF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 HERRONTOWN RD
PRINCETON NJ
08540-1901
US

IV. Provider business mailing address

905 HERRONTOWN RD
PRINCETON NJ
08540-1901
US

V. Phone/Fax

Practice location:
  • Phone: 609-497-2674
  • Fax:
Mailing address:
  • Phone: 800-242-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number25MA10675800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: