Healthcare Provider Details

I. General information

NPI: 1376858043
Provider Name (Legal Business Name): ASAD HUSSAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 STATE ROUTE 23 # 1036
WAYNE NJ
07470-7516
US

IV. Provider business mailing address

9 WHIPPLE WAY
MARLBORO NJ
07746-2745
US

V. Phone/Fax

Practice location:
  • Phone: 848-444-2896
  • Fax: 732-251-2415
Mailing address:
  • Phone: 848-444-2896
  • Fax: 732-251-2415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number64697
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number33802
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA150887
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD461822
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0071156
License Number StateCO
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA09648500
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number176684
License Number StateIL
# 8
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number8373120
License Number StateWI
# 9
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberTPME7658
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: