Active NPIIndividual provider

Raeesa A Soomar

Internal Medicine in Rahway, New Jersey

NPI Number1124647961
Practice location
546 Saint Georges Ave, Rahway, NJ 07065-2542
Fax
732-396-4463
Last updated
August 19, 2025

Raeesa Ashfaq Soomar is an Internal Medicine based in Rahway, NJ. Raeesa Ashfaq Soomar practices in Rahway, NJ. The NPI Number for Raeesa Ashfaq Soomar is 1124647961 and holds a License No. 25MA12780100 (NJ). The current practice location address for Raeesa Ashfaq Soomar is 546 Saint Georges Ave, Rahway, NJ 07065-2542 and can be reached out via phone at 732-381-3642 and via fax at 732-396-4463.

Provider Profile Details

NPI Number
1124647961
Provider Name
Raeesa Ashfaq Soomar
Provider Entity Type
Individual
Gender
Female
Address
546 Saint Georges Ave, Rahway, NJ 07065-2542
Phone Number
732-381-3642
Fax Number
732-396-4463
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2020
Last Update Date
August 19, 2025
Certification Date
August 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
546 Saint Georges Ave
Rahway, NJ 07065-2542
City
Rahway
Zip
07065-2542
Phone Number
732-381-3642
Fax Number
732-396-4463
Rahway, NJ 07065Get directions →

Provider Business Mailing Address Details

Address
546 Saint Georges Ave
Rahway, NJ 07065-2542
City
Rahway
State
NJ
Zip
07065-2542
Phone Number
732-381-3642
Fax Number
732-396-4463

License Information

License Number (1)
25MA12780100
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
25MA12780100
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Nephrology · 207RN0300X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Raeesa A Soomar?

The NPI number of Raeesa A Soomar is 1124647961. It was assigned on April 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Raeesa A Soomar?

Raeesa A Soomar is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA12780100.

Where does Raeesa A Soomar practice?

The practice location is 546 Saint Georges Ave, Rahway, NJ 07065-2542. The office can be reached at 732-381-3642 (phone) or 732-396-4463 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124647961 directly on the NPPES registry website.

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