Provider Demographics
NPI:1104957976
Name:ASHRAF, NOMAAN (MD)
Entity type:Individual
Prefix:
First Name:NOMAAN
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:M
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:PO BOX 631
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-0631
Mailing Address - Country:US
Mailing Address - Phone:917-539-9605
Mailing Address - Fax:201-634-9170
Practice Address - Street 1:466 OLD HOOK RD
Practice Address - Street 2:SUITE 16
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1396
Practice Address - Country:US
Practice Address - Phone:201-634-1811
Practice Address - Fax:201-634-9170
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254061207XS0117X
NJ25MA08731500207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine