Individual provider Active NPI

Mohamed A Elrafei, MD

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1114955895
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA050857 Issued in NJ
Practice address
401 Hamburg Tpke
Suit 303
Wayne, NJ 07470-2154
Phone
(973) 790-9222
Fax
(973) 790-0871
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MA050857 NJ Primary

Addresses

Primary practice location

401 Hamburg Tpke
Suit 303
Wayne, NJ 07470-2154

Mailing address

794 Peach Tree LN
Franklin Lakes, NJ 07417-2333
Phone (973) 790-9222

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
I20060227000543 NJ Practitioner - Psychiatry 2163438243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne Behavioral Service LLCGroup PAC ID 8820097561, 34 clinicians

Practice addresses (Care Compare)

401 Hamburg Tpke
Suite 302
Wayne, NJ 07470-2139
Phone (973) 790-9222

Merit-based Incentive Payment System (MIPS)

Final score
60.73 of 100Reported as individual
Quality
75
Promoting interoperability
0
Improvement activities
40
Cost
44.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA050857NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Behavioral Service, LLC Psychiatry CurrentSince Aug 1, 2006 Accepting new patients
Wayne Behavioral Service, LLC Current Accepting new patients
North Jersey Psychiatric Serivces LLC Psychiatry Past Accepting new patients

Locations

401 Hamburg Tpke
Ste 303
Wayne, NJ 07470
Phone (973) 595-0010

401 Hamburg Tpke
Ste 302
Wayne, NJ 07470
Phone (973) 790-9222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114955895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 PEACH TREE LN",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172333",
            "telephone_number": "973-790-9222",
            "fax_number": "973-790-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUIT 303",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-790-9222",
            "fax_number": "973-790-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELRAFEI",
        "first_name": "MOHAMED",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA050857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.