Individual provider Active NPI

Raeesa Ashfaq Soomar

  • Internal Medicine Physician
  • Rahway, NJ
National Provider Identifier
1124647961
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA12780100 Issued in NJ
Practice address
546 Saint Georges Ave
Rahway, NJ 07065-2542
Phone
(732) 381-3642
Fax
(732) 396-4463
NPI assigned
Apr 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12780100 NJ Primary
Nephrology Physician 207RN0300X 25MA12780100 NJ

Addresses

Primary practice location

546 Saint Georges Ave
Rahway, NJ 07065-2542

Mailing address

546 Saint Georges Ave
Rahway, NJ 07065-2542
Phone (732) 381-3642

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
I20250825001478 NJ Practitioner - Internal Medicine 2668972597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Institute for Hypertension and Kidney Diseases, P.C.Group PAC ID 8820189129, 7 clinicians

Practice addresses (Care Compare)

546 Saint Georges Ave
Rahway, NJ 07065-2542
Phone (732) 381-3642

Hospital & facility affiliations

  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108
  • Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Hypertension and Kidney Diseases PC Internal Medicine CurrentSince Jul 8, 2025 Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

240 Williamson St
Ste 206
Elizabeth, NJ 07202
Phone (908) 353-6668

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

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 7

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1124647961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652542",
            "telephone_number": "732-381-3642",
            "fax_number": "732-396-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 SAINT GEORGES AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652542",
            "telephone_number": "732-381-3642",
            "fax_number": "732-396-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOMAR",
        "first_name": "RAEESA",
        "middle_name": "ASHFAQ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12780100",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA12780100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.