Healthcare Provider Details

I. General information

NPI: 1689179871
Provider Name (Legal Business Name): NEVEEN ASAAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 MAIN ST
RAHWAY NJ
07065-4027
US

IV. Provider business mailing address

1501 MAIN ST
RAHWAY NJ
07065-4027
US

V. Phone/Fax

Practice location:
  • Phone: 732-454-7107
  • Fax:
Mailing address:
  • Phone: 732-454-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA11675500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: