Individual provider Active NPI

Raafat Ghobraiel, M.D.

  • Internal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1053490359
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06961700 Issued in NJ
Practice address
79 Brunswick Woods Dr
East Brunswick, NJ 08816-5601
Phone
(732) 254-7778
NPI assigned
Nov 6, 2006
Last updated
Jun 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06961700 NJ Primary

Addresses

Primary practice location

79 Brunswick Woods Dr
East Brunswick, NJ 08816-5601

Mailing address

12 Hamilton Dr
East Brunswick, NJ 08816-2709

Other identifiers 1

IdentifierTypeStateIssuer
8976406MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000090 NJ Practitioner - Internal Medicine 2668444969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

79 Brunswick Woods
East Brunswick, NJ 08816-5601
Phone (732) 254-7778

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
First Health Associates, LLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Ima Urgent Care Past Accepting new patients

Locations

834 Avenue C
Bayonne, NJ 07002
Phone (201) 339-4222

79 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (732) 254-7778

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872
  • Direct secure messaging: raafat.ghobraiel@direct.bayonnemedicalcenter.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1053490359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HAMILTON DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BRUNSWICK WOODS DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165601",
            "telephone_number": "732-254-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBRAIEL",
        "first_name": "RAAFAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06961700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.