Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ifrah Mehran, PA

Individual provider Medical Physician Assistant · NPI 1063292654

Ifrah Mehran, PA is a Medical Physician Assistant in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2023.

Licensed in
NJ
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-4777
Fax: (551) 996-0099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00896200 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1063292654
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792

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