Individual provider Active NPI

Michelle L Raad, M.D.

  • Obstetrics & Gynecology Physician
  • Elizabeth, NJ
National Provider Identifier
1114018595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA05132700 Issued in NJ
Practice address
240 Williamson St Ste 503
Elizabeth, NJ 07202-3673
Phone
(908) 355-1010
Fax
(908) 355-5629
NPI assigned
Sep 28, 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
Obstetrics & Gynecology Physician 207V00000X 25MA05132700 NJ Primary

Addresses

Primary practice location

240 Williamson St Ste 503
Elizabeth, NJ 07202-3673

Mailing address

240 Williamson St Ste 503
Elizabeth, NJ 07202-3673
Phone (908) 355-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114018595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 503",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023673",
            "telephone_number": "908-355-1010",
            "fax_number": "908-355-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 503",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023673",
            "telephone_number": "908-355-1010",
            "fax_number": "908-355-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAD",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05132700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.