Individual provider Active NPI

Vicki E Raab, M.D.

  • Neurology Physician
  • Ocean, NJ
National Provider Identifier
1073600748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA05326100 Issued in NJ
Practice address
1405 State Route 35
Ocean, NJ 07712-3532
Phone
(732) 663-1161
Fax
(732) 663-1164
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

1405 State Route 35
Ocean, NJ 07712-3532

Mailing address

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

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
I20040609000978 NJ Practitioner - Neurology 8325021538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Texas Southwestern Medical School at Dallas, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1405 Hwy 35
Ocean, NJ 07712-3532

1405 State Route 35 N
Ocean, NJ 07712-3532
Phone (732) 663-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA05326100NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicki Raab MD LLC Neurology CurrentSince Jul 1, 2001 Accepting new patients

Locations

1405 State Route 35
Ocean, NJ 07712
Phone (732) 663-1161

Interoperability endpoints

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

Organizations & group practices 1

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 9

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073600748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 STATE ROUTE 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 STATE ROUTE 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123532",
            "telephone_number": "732-663-1161",
            "fax_number": "732-663-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAB",
        "first_name": "VICKI",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA05326100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.