NPIMap

Organization Active NPI

Karel Raska Jr MD - Modern Diagnostics

  • Anatomic Pathology & Clinical Pathology Physician
  • New Brunswick, NJ
National Provider Identifier
1407950082
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
KAREL RASKA JR MD - MODERN DIAGNOSTICS
Practice address
254 Easton Avenue
New Brunswick, NJ 08903-0591
Phone
(732) 745-6677
Fax
(732) 828-3858
NPI assigned
Sep 12, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Karel Raska Jr., MD PHDNPI 1154425775
Title
Owner
Phone
(732) 745-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X
Pediatric Pathology Physician 207ZP0213X

Addresses

Primary practice location

254 Easton Avenue
New Brunswick, NJ 08903-0591

Mailing address

PO Box 1285
Highland Park, NJ 08904-1285
Phone (732) 246-1100

Other identifiers 1

IdentifierTypeStateIssuer
7362803MedicaidNJ

National Provider Directory

National Provider Directory

Locations

855 Hamilton St
Somerset, NJ 08873
Phone (908) 249-2211

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1407950082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1285",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089041285",
            "telephone_number": "732-246-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVENUE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089030591",
            "telephone_number": "732-745-6677",
            "fax_number": "732-828-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREL RASKA JR MD - MODERN DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "RASKA",
        "authorized_official_first_name": "KAREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-745-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7362803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.