Active NPI
Raymond K Patterson, M.D.
- Anesthesiology Physician
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA08278800
- Practice address
- 1505 W Sherman Ave
Vineland, NJ 08360-6912 - Phone
- (856) 641-8000
- Fax
- (856) 641-7668
- NPI assigned
- Nov 27, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA08278800 | NJ | Primary |
| Anesthesiology Physician | 207L00000X | MD432604 | PA |
Addresses
Primary practice location
1505 W Sherman Ave
Vineland, NJ 08360-6912
Mailing address
PO Box 650782
Dallas, TX 75265-0782
Phone (302) 733-0806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0150266 | Medicaid | NJ | |
| P00640454 | Other | NJ | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Pennsylvania State University College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Old Short Hills Rd
Suite 112
Livingston, NJ 07039-5607
Phone (973) 294-6185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432604 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolute Perioperative Services LLC | Anesthesiology | Current | Accepting new patients |
| Gastroenterology Associates of New Jersey, LLC | Anesthesiology | Current | Accepting new patients |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
| Haverford Anesthesia Associates-NJ, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
22 Old Short Hills Rd
Ste 112
Livingston, NJ 07039
Phone (973) 294-6185
1280 Randolph Rd
Ste 301
Plainfield, NJ 07060
Phone (626) 532-5879
310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054
336 Woodstown Rd
Salem, NJ 08079
Phone (856) 339-4220
301 Lakehurst Rd
Toms River, NJ 08755
Phone (732) 281-1590
1825 State Route 23
Wayne, NJ 07470
Phone (973) 633-1480
375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900
205 Browertown Rd
Woodland Park, NJ 07424
Phone (973) 785-8888
1130 McBride Ave
Fl 3
Woodland Park, NJ 07424
Phone (973) 785-2277
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJIGAA
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.
-
- Anesthesiology Physician
- Livingston, NJ
- NPI 1114686326
-
- Gastroenterology Physician
- Woodland Park, NJ
- NPI 1497932271
Anesthesiology
-
- Anesthesiology Physician
- Elmer, NJ
- NPI 1538112537
-
- Anesthesiology Physician
- Pottsville, PA
- NPI 1073789244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1336320852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650782",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650782",
"telephone_number": "302-733-0806",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606912",
"telephone_number": "856-641-8000",
"fax_number": "856-641-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "RAYMOND",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA08278800",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD432604",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0150266",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00640454",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.