Provider Demographics
NPI:1558393462
Name:BADAR, ASMA (MD)
Entity type:Individual
Prefix:
First Name:ASMA
Middle Name:
Last Name:BADAR
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 1:400 CHRIS GAUPP DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4486
Mailing Address - Country:US
Mailing Address - Phone:609-404-0648
Mailing Address - Fax:609-404-0580
Practice Address - Street 1:400 CHRIS GAUPP DR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4486
Practice Address - Country:US
Practice Address - Phone:609-404-0648
Practice Address - Fax:609-404-0580
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA082790002084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA??H75929Medicare UPIN