Individual provider Active NPI

Paul Keith Ratzker, M.D.

  • Neurological Surgery Physician
  • Union, NJ
National Provider Identifier
1235139700
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA06464600 Issued in NJ
Practice address
700 Rahway Ave
Union, NJ 07083-6634
Phone
(908) 688-1999
Fax
(908) 688-8180
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA06464600 NJ Primary

Addresses

Primary practice location

700 Rahway Ave
Union, NJ 07083-6634

Mailing address

700 Rahway Ave
Union, NJ 07083-6634
Phone (908) 688-1999

Other identifiers 1

IdentifierTypeStateIssuer
7260806MedicaidNJ

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
I20050804000140 NJ Practitioner - Neurosurgery 9931138526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06464600NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Back Institute Neurological Surgery CurrentSince Jun 1, 2001 Accepting new patients
Humc Opco LLC Current Accepting new patients

Locations

240 Williamson St
Ste 203
Elizabeth, NJ 07202
Phone (732) 491-7540

240 Williamson St
Ste 303
Elizabeth, NJ 07202
Phone (908) 351-0500

700 Rahway Ave
Union, NJ 07083
Phone (908) 688-1991

Interoperability endpoints

  • Direct secure messaging: paul.ratzker@direct.hobokenumc.md

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1235139700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-688-1999",
            "fax_number": "908-688-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RAHWAY AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836634",
            "telephone_number": "908-688-1999",
            "fax_number": "908-688-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZKER",
        "first_name": "PAUL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA06464600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7260806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.