Individual provider Active NPI

Younus A. Rakla, MD

  • Specialist
  • South Plainfield, NJ
National Provider Identifier
1104876499
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
902 Oak Tree Ave
Suite 400
South Plainfield, NJ 07080-5136
Phone
(908) 756-1703
Fax
(908) 756-1793
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

902 Oak Tree Ave
Suite 400
South Plainfield, NJ 07080-5136

Mailing address

902 Oak Tree Ave
Suite 400
South Plainfield, NJ 07080-5136
Phone (908) 756-1703

Other identifiers 1

IdentifierTypeStateIssuer
3297269MedicaidNJ

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
I20050922000316 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 2264466978 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarbrook Cardiology LLC Specialist CurrentSince Jun 1, 1986 Accepting new patients
Community Hospital Group, Inc Specialist Past Accepting new patients

Locations

65 James St
Edison, NJ 08820
Phone (732) 321-7010

902 Oak Tree Ave
Ste 400
South Plainfield, NJ 07080
Phone (908) 756-0040

Interoperability endpoints

  • Direct secure messaging: younus.rakla@cedarbrookcardi.ehi.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1104876499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 OAK TREE AVE",
            "address_2": "SUITE 400",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805136",
            "telephone_number": "908-756-1703",
            "fax_number": "908-756-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 OAK TREE AVE",
            "address_2": "SUITE 400",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805136",
            "telephone_number": "908-756-1703",
            "fax_number": "908-756-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKLA",
        "first_name": "YOUNUS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3297269",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.