Dr. Elrafei is a graduate of Ain Shams University in Cairo, Egypt and received his psychiatric training at Bergen Regional Medical Center from 1986 to 1990, where he was chief resident in psychiatry from 1989 to 1990. He received the George Simpson award of excellence in psychopharmacology research. He has extensive experience in adult psychiatry, with a subspecialty in geriatric psychiatry and substance abuse since he started his private practice in 1990. He is the founder and manager of Wayne Behavioral Service, LLC, started in 2006. Dr Elrafei became Board certified in psychiatry and Neurology in 1992 with added qualification of board certification in Geriatric psychiatry in 1996.Currently Dr Elrafei serves as the medical director of Ramapo Ridge psychiatric hospital. He also served as the chairman of the department (1999-2003) and was medical director of the psychiatric department at Chilton Memorial Hospital (2003-2008).He received the Excellence and Visionary award from the Passaic County Mental Health Association in New Jersey in 2008. He is also the recipient of the New Jersey Institute for Nursing's prestigious APPLE (Acknowledging Physician Partners: A Liaison for Excellence) award for 2011.