Organization Active NPI

Humera Arif Raza Therapy Services LLC

  • Psychiatry Physician
  • Piscataway, NJ
National Provider Identifier
1497468227
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HUMERA ARIF RAZA THERAPY SERVICES LLC
Practice address
1618 Stelton Rd
Piscataway, NJ 08854-5917
Phone
(848) 202-9800
NPI assigned
Dec 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Aamer Baig
Title
Ceo
Phone
(201) 710-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1618 Stelton Rd
Piscataway, NJ 08854-5917

Mailing address

1618 Stelton Rd
Piscataway, NJ 08854-5917
Phone (848) 202-9800

Other names 1

  • RARITAN VALLEY POLY CLINIC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL ElectronicMedicalRecord Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603000485 NJ Part B Supplier - Clinic/Group Practice 3577005800 Receives reassigned benefits from 2 practitioners
Practice locations: Piscataway, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1497468227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545917",
            "telephone_number": "848-202-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 STELTON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545917",
            "telephone_number": "848-202-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMERA ARIF RAZA THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "AAMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-710-0008"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ElectronicMedicalRecord",
            "affiliation": "N",
            "endpointDescription": "ElectronicMedicalRecord",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "ElectronicMedicalRecord",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ElectronicMedicalRecord",
            "address_1": "1618 Stelton Rd",
            "city": "Piscataway",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088545917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RARITAN VALLEY POLY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.