Jacques Carol Raymond, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MAO7123300 Issued in NJ

Practice address

294 Central Ave
FL 1
Orange, NJ 07050-3414

Phone

(973) 676-6556

Fax

(973) 676-6543

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• St. Joseph's Healthcare, Inc.

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1497791297
  Medicare reassignment NPD
• Raymond Home Care Services LLC

  • Home Health Agency
  • Orange, NJ
  • NPI 1467104356
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1407855984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 CENTRAL AVE",
            "address_2": "FL 1",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503414",
            "telephone_number": "973-676-6556",
            "fax_number": "973-676-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 CENTRAL AVE",
            "address_2": "FL 1",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503414",
            "telephone_number": "973-676-6556",
            "fax_number": "973-676-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "JACQUES",
        "middle_name": "CAROL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MAO7123300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00624016",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quality Touch Community Care LLC
• Angie Rahman
• Rakhee Enterprises LLC
• Elmo R Randolph, DMD
• Raymond Home Care Services LLC
• Redeemed Christian Church of God
• Vladimir Rejouis
• Remo Chiro Centro
• Renex Dialysis Clinic of Orange, Inc.
• Vanessa Yanique Richards, NP-C

• Specialist in Orange, NJ
• Providers in Orange, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.

Verify at the official NPI Registry.