Individual provider Active NPI

Karel Raska Jr., MD PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • New Brunswick, NJ
National Provider Identifier
1154425775
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MA29875 Issued in NJ
Practice address
254 Easton Avenue
New Brunswick, NJ 08903-0591
Phone
(732) 743-8504
Fax
(732) 828-3858
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

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
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MA29875 NJ Primary

Addresses

Primary practice location

254 Easton Avenue
New Brunswick, NJ 08903-0591

Mailing address

400 Harrison Ave
Highland Park, NJ 08904-2708
Phone (732) 745-8504

Other identifiers 1

IdentifierTypeStateIssuer
0203700MedicaidNJ

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MA29875NJMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Head & Neck Oncology Group of Central Jersey Past Accepting new patients
Karel Raska Jr MD - Modern Diagnostics Anatomic Pathology & Clinical Pathology PastSince Jan 1, 1990 Accepting new patients

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154425775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HARRISON AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042708",
            "telephone_number": "732-745-8504",
            "fax_number": "732-828-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVENUE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089030591",
            "telephone_number": "732-743-8504",
            "fax_number": "732-828-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASKA",
        "first_name": "KAREL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "MA29875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, 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.