Individual provider Active NPI

Rajnik W Raab, MD

  • Neurological Surgery Physician
  • Wayne, NJ
National Provider Identifier
1417953902
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA07181600 Issued in NJ
Practice address
1680 Route 23 Ste 250
Wayne, NJ 07470-7520
Phone
(973) 633-1122
Fax
(973) 832-7550
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA07181600 NJ Primary

Addresses

Primary practice location

1680 Route 23 Ste 250
Wayne, NJ 07470-7520

Mailing address

1680 Rte 23
Ste 250
Wayne, NJ 07470-7520
Phone (201) 445-8666

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000311 NJ Practitioner - Neurosurgery 1456381904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Jersey Spine Group LLCGroup PAC ID 5597859884, 24 clinicians

Practice addresses (Care Compare)

1680 Route 23
Suite 250
Wayne, NJ 07470-7520
Phone (201) 445-9327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.72 of 100Reported as group
Quality
93.63
Promoting interoperability
99
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion53
Laminectomy or laminotomy (partial removal of spine bones)13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07181600NJMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Spine Group LLC Neurological Surgery CurrentSince Jan 1, 2007 Accepting new patients

Locations

10 Madison Ave
Ste 201
Morristown, NJ 07960
Phone (973) 633-1122

205 Robin Rd
Ste 230
Paramus, NJ 07652

1 W Ridgewood Ave
Ste 208
Paramus, NJ 07652
Phone (201) 445-8666

1680 State Route 23
Ste 250
Wayne, NJ 07470
Phone (201) 445-9327

Interoperability endpoints

  • Direct secure messaging: rraab190136@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBIDAD

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1417953902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 RTE 23",
            "address_2": "STE 250",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "201-445-8666",
            "fax_number": "201-445-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 250",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-633-1122",
            "fax_number": "973-832-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAB",
        "first_name": "RAJNIK",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA07181600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.