Individual provider Active NPI

Mir Raza, M.D.

  • Emergency Medicine Physician
  • Huntington, NY
National Provider Identifier
1235593211
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
299002 Issued in NY
Practice address
270 Park Ave
Huntington, NY 11743-2787
Phone
(631) 351-2300
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 299002 NY Primary

Addresses

Primary practice location

270 Park Ave
Huntington, NY 11743-2787

Mailing address

270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190722001953 NY Practitioner - Emergency Medicine 4880920396 Reassigns benefits to 3 organizations
I20221007000022 NJ Practitioner - Emergency Medicine 4880920396 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physician Associates of North Jersey P CGroup PAC ID 7911992326, 125 clinicians

Practice addresses (Care Compare)

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Observation Associates LLC Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2019 Accepting new patients
Hudson Premier Medical PC CurrentSince Aug 1, 2022 Accepting new patients
Port Emergency Medical Services, P.C. Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Emergency Medicine CurrentSince Mar 16, 2024 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Mar 26, 2024 Accepting new patients
Siena Emergency Medical Services, P.C. Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

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

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Plandome, NY 11030

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 8

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1235593211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432787",
            "telephone_number": "631-351-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432787",
            "telephone_number": "631-351-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "MIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "299002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.