Individual provider Active NPI

Rafath Khatoon Humera, M.D

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1376871202
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08760600 Issued in NJ
Practice address
1033 Clifton Ave Ste 211
Clifton, NJ 07013-3525
Phone
(973) 782-4905
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08760600 NJ Primary
Internal Medicine Physician 207R00000X 256036 NY

Addresses

Primary practice location

1033 Clifton Ave Ste 211
Clifton, NJ 07013-3525

Mailing address

1033 Clifton Ave Ste 211
Clifton, NJ 07013-3525
Phone (973) 782-4905

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
I20110927000208 NJ Practitioner - Internal Medicine 3476681958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1033 Clifton Ave
Suite 211
Clifton, NJ 07013-3525
Phone (973) 782-4905

535 Getty Ave
Clifton, NJ 07011-2105

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ave Medical Centre LLC Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

535 Getty Ave
Ste 3
Clifton, NJ 07011
Phone (862) 239-4808

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9939/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rafath.humera.1@9939.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1376871202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 211",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133525",
            "telephone_number": "973-782-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 211",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133525",
            "telephone_number": "973-782-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMERA",
        "first_name": "RAFATH",
        "middle_name": "KHATOON",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08760600",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.