Active NPIIndividual providerSole proprietor

Dr. Rafik M Istafanous, MD

Psychiatry & Neurology, Addiction Psychiatry in Newark, New Jersey

NPI Number1184713059
Practice location
183 South Orange Ave, E Level Room E 1546, Newark, NJ 07101
Fax
873-972-3399
Last updated
July 8, 2007

Rafik Monir Istafanous is a Psychiatry & Neurology, Addiction Psychiatry based in Newark, NJ. Rafik Monir Istafanous practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Rafik Monir Istafanous is 1184713059 and holds a License No. 25MA07547500 (NJ). The current practice location address for Rafik Monir Istafanous is 183 South Orange Ave, E Level Room E 1546, Newark, NJ 07101 and can be reached out via phone at 973-972-5054 and via fax at 873-972-3399.

Provider Profile Details

NPI Number
1184713059
Provider Name
Rafik Monir Istafanous
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
183 South Orange Ave, E Level Room E 1546, Newark, NJ 07101
Phone Number
973-972-5054
Fax Number
873-972-3399
Primary Taxonomy
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
Sole Proprietor
Yes
Provider Enumeration Date
October 11, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
183 South Orange Ave
E Level Room E 1546
Newark, NJ 07101
City
Newark
Zip
07101
Phone Number
973-972-5054
Fax Number
873-972-3399
Newark, NJ 07101Get directions →

Provider Business Mailing Address Details

Address
5 Carol Ter
Warren, NJ 07059-5439
City
Warren
State
NJ
Zip
07059-5439
Phone Number
201-532-8865

License Information

License Number
25MA07547500
License State
NJ
Taxonomy
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X · Primary

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 Dr. Rafik M Istafanous, MD?

The NPI number of Dr. Rafik M Istafanous, MD is 1184713059. It was assigned on October 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Rafik M Istafanous, MD?

Dr. Rafik M Istafanous, MD is registered under the primary taxonomy Psychiatry & Neurology, Addiction Psychiatry (code 2084P0802X), licensed in NJ under license number 25MA07547500.

Where does Dr. Rafik M Istafanous, MD practice?

The practice location is 183 South Orange Ave, E Level Room E 1546, Newark, NJ 07101. The office can be reached at 973-972-5054 (phone) or 873-972-3399 (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 1184713059 directly on the NPPES registry website.

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