Active NPIIndividual provider

Dr. Fariha Ilyas, MD

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI Number1689029209
Practice location
150 Bergen St, Newark, NJ 07103-2496
Fax
—
Last updated
August 15, 2025

Fariha Ilyas is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Fariha Ilyas practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Fariha Ilyas is 1689029209 and holds a License No. 279717 (MA). The current practice location address for Fariha Ilyas is 150 Bergen St, Newark, NJ 07103-2496 and can be reached out via phone at 973-972-4300.

Provider Profile Details

NPI Number
1689029209
Provider Name
Fariha Ilyas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
150 Bergen St, Newark, NJ 07103-2496
Phone Number
973-972-4300
Sole Proprietor
No
Provider Enumeration Date
May 2, 2016
Last Update Date
August 15, 2025
Certification Date
August 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 Bergen St
Newark, NJ 07103-2496
City
Newark
Zip
07103-2496
Phone Number
973-972-4300
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
2100 Stantonsburg RD
Greenville, NC 27834-2818
City
Greenville
State
NC
Zip
27834-2818

License Information

License Number (1)
279717
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA12638800
License State (2)
NJ

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. Fariha Ilyas, MD?

The NPI number of Dr. Fariha Ilyas, MD is 1689029209. It was assigned on May 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Fariha Ilyas, MD?

Dr. Fariha Ilyas, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 279717.

Where does Dr. Fariha Ilyas, MD practice?

The practice location is 150 Bergen St, Newark, NJ 07103-2496. The office can be reached at 973-972-4300 (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 1689029209 directly on the NPPES registry website.

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