1467436170 NPI number — DR. SHARIQ A AFRIDI M.D.

Table of content: DR. SHARIQ A AFRIDI M.D. (NPI 1467436170)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467436170 NPI number — DR. SHARIQ A AFRIDI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AFRIDI
Provider First Name:
SHARIQ
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467436170
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1374 WHITEHORSE HAMILTON SQUARE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMILTON SQ
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08690-3701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-586-1319
Provider Business Mailing Address Fax Number:
609-586-1468

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1374 WHITEHORSE HAMILTON SQUARE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMILTON SQ
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08690-3701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-586-1319
Provider Business Practice Location Address Fax Number:
609-586-1468
Provider Enumeration Date:
12/06/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  25MA06201100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1323334 . This is a "FIRSTHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 502170 . This is a "AETNA HMO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 84663 . This is a "AMERICAID" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 010002881-00 . This is a "AMERICHOICE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 147288 . This is a "DEVON" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 222233588 . This is a "HORIZON BC/BS" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 4319169 . This is a "AETNA PPO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0179074-004 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1K71161 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 58465 . This is a "LOCAL" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 6512003 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000653740001 . This is a "ONE HEALTH PLAN" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 1014252 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1755890 . This is a "UHC" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 3U324 . This is a "EMPIRE HEALTH CARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 636104 . This is a "AMERIHEALTH PPO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P768331 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0778149000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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