=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801200019
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASFI RAFIUDDIN D.O.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2014
-----------------------------------------------------
Last Update Date | 12/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20 PROSPECT AVE STE 800
-----------------------------------------------------
City | HACKENSACK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07601-1974
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-343-6676
-----------------------------------------------------
Fax | 201-343-6689
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 333 WESTCHESTER AVE STE E104
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10604-2930
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-428-9213
-----------------------------------------------------
Fax | 914-428-9282
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physician
-----------------------------------------------------
License Number | 25MB10910300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084E0001X
-----------------------------------------------------
Taxonomy Name | Epilepsy Physician
-----------------------------------------------------
License Number | 25MB10910300
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------