Active NPI
Karel Raska Jr., MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- New Brunswick, NJ
National Provider Identifier
1154425775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MA29875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0203700 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA29875 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head & Neck Oncology Group of Central Jersey | Past | Accepting new patients | |
| Karel Raska Jr MD - Modern Diagnostics | Anatomic Pathology & Clinical Pathology | Past | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- New Brunswick, NJ
- NPI 1407950082
-
- Oncology Clinic/Center
- New Brunswick, NJ
- NPI 1063628113
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.