Healthcare Provider Details

I. General information

NPI: 1093763856
Provider Name (Legal Business Name): WAFA SAID ABUKHRAYBEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WILLOWBROOK BLVD SUITE 421
WAYNE NJ
07470-7045
US

IV. Provider business mailing address

57 WILLOWBROOK BLVD SUITE 421
WAYNE NJ
07470-7045
US

V. Phone/Fax

Practice location:
  • Phone: 973-754-4025
  • Fax: 973-754-4044
Mailing address:
  • Phone: 973-754-4025
  • Fax: 973-754-4044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA06776500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: