Organization Active NPI

Vicki Raab MD LLC

  • Neurology Physician
  • Ocean, NJ
National Provider Identifier
1023444924
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA05326100 Issued in NJ
Legal business name
VICKI RAAB MD LLC
Practice address
1405 Highway 35
Ocean, NJ 07712-3532
Phone
(732) 663-1161
Fax
(732) 663-1164
NPI assigned
Sep 24, 2013
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vicki Raab, MDNPI 1073600748
Title
Medical Provider
Phone
(732) 663-1161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA05326100 NJ Primary

Addresses

Primary practice location

1405 Highway 35
Ocean, NJ 07712-3532

Mailing address

1405 Highway 35
Ocean, NJ 07712-3532
Phone (732) 663-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130930000444 NJ Part B Supplier - Clinic/Group Practice 9537393806 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/cps3xefvhcSt0AY7eotQvR92zVwh8r6g/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1023444924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123532",
            "telephone_number": "732-663-1161",
            "fax_number": "732-663-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123532",
            "telephone_number": "732-663-1161",
            "fax_number": "732-663-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI RAAB MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "RAAB",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "732-663-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA05326100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.