Active NPI
Sameh M Ragheb, MD
- Child & Adolescent Psychiatry Physician
- Paramus, NJ
National Provider Identifier
1295769404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 25MA06731500
- Practice address
- 610 Valley Health Plaza
Careplus NJ
Paramus, NJ 07652 - Phone
- (201) 265-8200
- Fax
- (201) 265-7645
- NPI assigned
- Jul 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA06731500 | NJ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MA06731500 | NJ | Primary |
Addresses
Primary practice location
610 Valley Health Plaza
Careplus NJ
Paramus, NJ 07652
Mailing address
610 Valley Health Plaza
Careplus NJ
Paramus, NJ 07652
Phone (201) 265-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7764308 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06731500 | NJ | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1295769404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 VALLEY HEALTH PLAZA",
"address_2": "CAREPLUS NJ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "201-265-8200",
"fax_number": "201-265-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 VALLEY HEALTH PLAZA",
"address_2": "CAREPLUS NJ",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "201-265-8200",
"fax_number": "201-265-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGHEB",
"first_name": "SAMEH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA06731500",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MA06731500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7764308",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.