Active NPI
Tarek Refaie, M.D.
- Internal Medicine Physician
- Wayne, NJ
National Provider Identifier
1093917874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08496800
- Practice address
- 504 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2034 - Phone
- (551) 208-0331
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 25MA08496800 | NJ | Primary |
Addresses
Primary practice location
504 Hamburg Tpke
Suite 202
Wayne, NJ 07470-2034
Mailing address
22 Mountainside Dr
Pompton Lakes, NJ 07442-1766
Phone (973) 248-6313
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
516 Hamburg Tpke
Suite 11
Wayne, NJ 07470-2063
Phone (973) 595-6444
Hospital & facility affiliations
- St Joseph'S University Medical Center Inc
- Hackensack University Medical Center
- Chilton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Healthcare, Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Wayne, NJ
- NPI 1164743993
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1497791297
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pompton Plains, NJ
- NPI 1811994809
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1093917874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MOUNTAINSIDE DR",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421766",
"telephone_number": "973-248-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 HAMBURG TPKE",
"address_2": "SUITE 202",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702034",
"telephone_number": "551-208-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REFAIE",
"first_name": "TAREK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08496800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.