Active NPI
Fatema Raja, PA
- Physician Assistant
- Edison, NJ
National Provider Identifier
1245779453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00414300
- Practice address
- 2090 Route 27
Edison, NJ 08817-3372 - Phone
- (732) 662-5650
- Fax
- (732) 662-5651
- NPI assigned
- Feb 21, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00414300 | NJ | Primary |
Addresses
Primary practice location
2090 Route 27
Edison, NJ 08817-3372
Mailing address
24 Avenue a
Helmetta, NJ 08828-1244
Phone (908) 202-1239
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 N Washington Ave
Green Brook, NJ 08812-2619
Phone (732) 968-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medemerge P.a. | Current | Accepting new patients | |
| Medemerge LLC | Current | Accepting new patients |
Locations
1005 N Washington Ave
Green Brook, NJ 08812
Phone (732) 968-8900
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1039
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Green Brook, NJ
- NPI 1366656431
-
- Urgent Care Clinic/Center
- Paramus, NJ
- NPI 1316272685
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
- Urgent Care Clinic/Center
- Edison, NJ
- NPI 1457657579
-
- Family Medicine Physician
- Green Brook, NJ
- NPI 1184643132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1245779453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 AVENUE A",
"city": "HELMETTA",
"state": "NJ",
"postal_code": "088281244",
"telephone_number": "908-202-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 ROUTE 27",
"city": "EDISON",
"state": "NJ",
"postal_code": "088173372",
"telephone_number": "732-662-5650",
"fax_number": "732-662-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJA",
"first_name": "FATEMA",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00414300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.