Individual provider Active NPI

Kara Rafael

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1457070716
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01358800 Issued in NJ
Practice address
1691 Lakewood Rd
Toms River, NJ 08755-1245
Phone
(732) 914-3875
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NR19598400 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01358800 NJ Primary

Addresses

Primary practice location

1691 Lakewood Rd
Toms River, NJ 08755-1245

Mailing address

3 Crestview CT
Farmingdale, NJ 07727-3847
Phone (732) 640-3303

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216001534 NJ Practitioner - Nurse Practitioner 8729457551 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR19598400NJMDPsychiatric/Mental Health Registered Nurse
26NJ01358800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Mental Health Specialty Group NJ, PC CurrentSince Aug 1, 2025 Accepting new patients
Modern Psychiatry NJ PC CurrentSince Aug 7, 2023 Accepting new patients

Locations

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

830 Morris Tpke
Short Hills, NJ 07078
Phone (973) 302-6040

20 Hospital Dr
Ste 4
Toms River, NJ 08755
Phone (732) 286-0222

40 Bey Lea Rd
Ste C101
Toms River, NJ 08753
Phone (732) 341-9901

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1457070716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CRESTVIEW CT",
            "city": "FARMINGDALE",
            "state": "NJ",
            "postal_code": "077273847",
            "telephone_number": "732-640-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 LAKEWOOD RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551245",
            "telephone_number": "732-914-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAEL",
        "first_name": "KARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NR19598400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01358800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.