Active NPIIndividual provider

Maryam Rafique

Dentist, General Practice in Newark, New Jersey

NPI Number1407203946
Practice location
110 Bergen St, Newark, NJ 07103-2495
Fax
—
Last updated
January 3, 2019

Maryam Rafique is a Dentist, General Practice based in Newark, NJ. Maryam Rafique practices in Newark, NJ. The NPI Number for Maryam Rafique is 1407203946 and holds a License No. 22DI02679900 (NJ). The current practice location address for Maryam Rafique is 110 Bergen St, Newark, NJ 07103-2495 and can be reached out via phone at 201-253-8979.

Provider Profile Details

NPI Number
1407203946
Provider Name
Maryam Rafique
Provider Entity Type
Individual
Gender
Female
Address
110 Bergen St, Newark, NJ 07103-2495
Phone Number
201-253-8979
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
May 14, 2016
Last Update Date
January 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
201-253-8979
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
21 Cooper St
Bayonne, NJ 07002-4411
City
Bayonne
State
NJ
Zip
07002-4411
Phone Number
201-253-8979

License Information

License Number
22DI02679900
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Maryam Rafique?

The NPI number of Maryam Rafique is 1407203946. It was assigned on May 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Maryam Rafique?

Maryam Rafique is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02679900.

Where does Maryam Rafique practice?

The practice location is 110 Bergen St, Newark, NJ 07103-2495. The office can be reached at 201-253-8979 (phone).

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 1407203946 directly on the NPPES registry website.

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