DR. RAFIA HUSSAINI MD
NPI 1194902643
Internal Medicine in Newark, NJ
About Dr. Rafia Hussaini Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAFIA HUSSAINI MD (NPI 1194902643) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (25MA08396900) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Rafia Hussaini Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Rafia Hussaini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 428 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJThe University Hospital
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rafia Hussaini's NPI number?
The NPI number for Rafia Hussaini is 1194902643. It was assigned to this individual provider in the NPPES registry on January 28, 2008.
Where is Rafia Hussaini located?
Rafia Hussaini practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7472.
What is Rafia Hussaini's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Rafia Hussaini enrolled in Medicare?
Yes. Rafia Hussaini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rafia Hussaini's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafia Hussaini reassigns Medicare benefits to Rwjbh Primary Care Services (West Orange, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafia Hussaini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rafia Hussaini accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Rafia Hussaini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Rafia Hussaini affiliated with any hospitals?
According to CMS data, Rafia Hussaini is affiliated with Newark Beth Israel Medical Center and The University Hospital.
When was this NPI record last updated?
The NPPES record for Rafia Hussaini was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Rafia Hussaini, MD · NPI 1194902643
Internal Medicine physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since January 28, 2008.
## Identity
- **NPI:** 1194902643 (Entity type: Individual)
- **Enumerated:** January 28, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA08396900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-7472 · **Fax:** (973) 923-8063
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rwjbh Primary Care Services (NPI 1265037501, West Orange, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** May 2, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1194902643) · Data from the CMS NPPES public registry.