MEDICARE: RAEF NIZAR FARIS ALI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1568357010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAEF NIZAR FARIS ALI MD

Provider Business Mailing Address
First Line	:	7600 RIVER ROAD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 RIVER ROAD
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047
Country	:	US
Telephone Number	:	201-854-5713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	03/12/2026

Similar Medicare Providers

1598612392 — HOREEN ASLAM
Practice Location Address:

5711 KENNEDY BLVD N STE 313
NORTH BERGEN, NJ
07047-3294

Practice Phone: 860-804-6593
Practice Fax:

1922668581 — DR. SALEH AHMED MASSASATI MD
Practice Location Address:

7600 RIVER RD
NORTH BERGEN, NJ
07047-6217

Practice Phone: 201-854-5000
Practice Fax:

1477408623 — GOLD COAST MEDICAL LLC
Practice Location Address:

7600 RIVER RD
NORTH BERGEN, NJ
07047-6217

Practice Phone: 201-854-5000
Practice Fax:

1487354296 — DULCE M RUIZ AST
Practice Location Address:

7401 BERGENLINE AVE
NORTH BERGEN, NJ
07047-5438

Practice Phone: 201-854-1800
Practice Fax: 201-861-0269

1831458660 — KIDNEY LIFE, LLC
Practice Location Address:

1310 5TH ST
NORTH BERGEN, NJ
07047-1710

Practice Phone: 201-770-9220
Practice Fax: 201-770-9225

1215933775 — HUDSON THERAPY, LLC
Practice Location Address:

9225 KENNEDY BLVD
NORTH BERGEN, NJ
07047-5361

Practice Phone: 201-869-2707
Practice Fax: 201-869-2717

Directions to “ RAEF NIZAR FARIS ALI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.