Individual provider Active NPI

Abida Y Jafri, M.D

  • Physical Medicine & Rehabilitation Physician
  • Edison, NJ
National Provider Identifier
1093845729
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA03990500 Issued in NJ
Practice address
2 State Route 27
Suite 405,
Edison, NJ 08820-3961
Phone
(732) 321-4008
Fax
(501) 644-1036
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000398 NJ Practitioner - Physical Medicine and Rehabilitation 6709927098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Metropark Rehab Center LLC Physical Medicine & Rehabilitation CurrentSince Oct 19, 2009 Accepting new patients

Locations

2 State Route 27
Ste 405
Edison, NJ 08820
Phone (732) 321-4008

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 25MA03990500 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

2 State Route 27
Suite 405,
Edison, NJ 08820-3961

Mailing address

85 Ellmyer Rd
Edison, NJ 08820-2331
Phone (732) 321-4008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2023.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1093845729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ELLMYER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202331",
            "telephone_number": "732-321-4008",
            "fax_number": "501-644-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STATE ROUTE 27",
            "address_2": "SUITE 405,",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203961",
            "telephone_number": "732-321-4008",
            "fax_number": "501-644-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFRI",
        "first_name": "ABIDA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA03990500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.