Healthcare Provider Details

I. General information

NPI: 1801818711
Provider Name (Legal Business Name): DR. YOUSEF AZDIN KAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 HAMBURG TPKE SUITE 105
WAYNE NJ
07470-2162
US

IV. Provider business mailing address

342 HAMBURG TPKE SUITE 105
WAYNE NJ
07470-2162
US

V. Phone/Fax

Practice location:
  • Phone: 973-720-6655
  • Fax: 973-720-6644
Mailing address:
  • Phone: 973-720-6655
  • Fax: 973-720-6644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMA064165
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberMA064165
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: