Provider Demographics
NPI:1174629083
Name:ASGHAR, FATIMA (MD)
Entity Type:Individual
Prefix:MRS
First Name:FATIMA
Middle Name:
Last Name:ASGHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1251 RTE 37 W STE 200
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-5050
Mailing Address - Country:US
Mailing Address - Phone:732-341-2211
Mailing Address - Fax:732-505-8229
Practice Address - Street 1:1251 RTE 37 W STE 200
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5050
Practice Address - Country:US
Practice Address - Phone:732-341-2211
Practice Address - Fax:732-505-8229
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05352800207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2758903Medicaid
NJ8466807Medicaid
NJ6437206Medicaid