Individual provider Active NPI

Syed Mohsin Raza, MD

  • Internal Medicine Physician
  • Hackettstown, NJ
National Provider Identifier
1194704585
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA60553 Issued in NJ
Practice address
117 Seber Rd
Doctors Park 2B
Hackettstown, NJ 07840-1722
Phone
(908) 684-0684
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA60553 NJ Primary

Addresses

Primary practice location

117 Seber Rd
Doctors Park 2B
Hackettstown, NJ 07840-1722

Mailing address

117 Seber Rd
Doctors Park 2B
Hackettstown, NJ 07840-1722
Phone (908) 684-0684

Other identifiers 1

IdentifierTypeStateIssuer
6673104MedicaidNJ

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
I20031113000492 NJ Practitioner - Internal Medicine 9335053446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

117 Seber Rd
2B Doctors Park
Hackettstown, NJ 07840-1722

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Ahs Hospital Corp Hospital, Hackettstown, NJ, CCN 310115
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Newton Medical Center Hospital, Newton, NJ, CCN 310028
  • Heath Village Nursing home, Hackettstown, NJ, CCN 315072

Merit-based Incentive Payment System (MIPS)

Final score
23.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA60553NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skyland Medical Care, PC CurrentSince Jul 14, 2003 Accepting new patients

Locations

2B Doctors Park
Hackettstown, NJ 07840
Phone (908) 684-0684

Organizations & group practices 1

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 5

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1194704585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEBER RD",
            "address_2": "DOCTORS PARK 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401722",
            "telephone_number": "908-684-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SEBER RD",
            "address_2": "DOCTORS PARK 2B",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401722",
            "telephone_number": "908-684-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "SYED",
        "middle_name": "MOHSIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA60553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6673104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.