Individual provider Active NPI

Ra'Ed Yousef Fareed Nassar, MD

  • Nephrology Physician
  • Staten Island, NY
National Provider Identifier
1073076816
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C1-0027971 Issued in DE
Practice address
475 Seaview Avenue
Staten Island, NY 10305
Phone
(718) 226-8313
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X C1-0027971 DE Primary

Addresses

Primary practice location

475 Seaview Avenue
Staten Island, NY 10305

Mailing address

475 Seaview Avenue
Staten Island, NY 10305
Phone (718) 226-8313

Other practice location 1

601 Tower Ln Ste 102
Middletown, DE 19709-1763
Phone (302) 355-2383

Other practice location 2

101 Becks Woods Dr Ste 102
Bear, DE 19701-3855
Phone (302) 355-2383

Other practice location 3

315 N Carter Rd
Smyrna, DE 19977-1282
Phone (302) 355-2383

Other practice location 4

107 Mont Blanc Blvd Ste 102
Dover, DE 19904-7624
Phone (302) 355-2383

Other practice location 5

2006 Limestone Rd Ste 7
Wilmington, DE 19808-5553
Phone (302) 355-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20250620001760 DE Practitioner - Nephrology 7810226222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Consultants PAGroup PAC ID 9739134669, 5 clinicians

Practice addresses (Care Compare)

101 Becks Woods Dr
Suite 102
Bear, DE 19701-3855
Phone (302) 355-2383

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Consultants PA Nephrology CurrentSince Jul 1, 2025 Accepting new patients
Kidney Home, LLC PastSince Jul 1, 2025 Accepting new patients

Locations

101 Becks Woods Dr
Ste 102
Bear, DE 19701
Phone (302) 355-2383

107 Mont Blanc Blvd
Ste 102
Dover, DE 19904
Phone (302) 355-2383

601 Tower Ln
Ste 102
Middletown, DE 19709
Phone (302) 355-2383

315 N Carter Rd
Smyrna, DE 19977
Phone (302) 355-2383

2006 Limestone Rd
Ste 7
Wilmington, DE 19808
Phone (302) 355-2383

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c97fd5e-8596-4941-825c-71277aadd345/
  • Direct secure messaging: rnassar4426334@direct.trinity-health.org

Organizations & group practices 2

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

Hospital & facility affiliations 2

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1073076816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-226-8313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Tower Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197091763",
            "country_code": "US",
            "telephone_number": "302-355-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Becks Woods Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197013855",
            "country_code": "US",
            "telephone_number": "302-355-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N Carter Rd",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "DE",
            "postal_code": "199771282",
            "country_code": "US",
            "telephone_number": "302-355-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Mont Blanc Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199047624",
            "country_code": "US",
            "telephone_number": "302-355-2383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Limestone Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085553",
            "country_code": "US",
            "telephone_number": "302-355-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "RA'ED",
        "middle_name": "YOUSEF FAREED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DE",
            "license": "C1-0027971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.