Individual provider · Type 1 NPI

Fariha Ilyas, MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1689029209 Active

Practice location

150 Bergen St
Newark, NJ 07103-2496

Call (973) 972-4300 Map

Mailing address

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Other practice locations

  • 55 Lake Ave N, Worcester, MA 01655-0002 · (508) 334-8515
  • 157 Union St, Marlborough, MA 01752-1228 · (508) 486-5678
  • 119 Belmont St, Worcester, MA 01605-2903 · (508) 334-8515

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X279717 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000X25MA12638800 (NJ)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689029209

Fariha Ilyas, MD's National Provider Identifier is 1689029209, issued on May 2, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on Aug 15, 2025.