Healthcare Provider Details

I. General information

NPI: 1003739913
Provider Name (Legal Business Name): ASEF BARI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7409 37TH AVE STE 201
JACKSON HEIGHTS NY
11372-6341
US

IV. Provider business mailing address

7409 37TH AVE STE 201
JACKSON HEIGHTS NY
11372-6341
US

V. Phone/Fax

Practice location:
  • Phone: 347-421-9492
  • Fax: 646-630-9581
Mailing address:
  • Phone: 347-421-9492
  • Fax: 646-630-9581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2070L001
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: