NPIMap

Individual provider Active NPI

Rafah Salloum, M.D.

  • Rheumatology Physician
  • Manalapan, NJ
National Provider Identifier
1457417040
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA08174300 Issued in NJ
Practice address
219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone
(732) 414-6001
Fax
(732) 414-6003
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA08174300 NJ Primary

Addresses

Primary practice location

219 Taylors Mills Rd
Manalapan, NJ 07726-3255

Mailing address

PO Box 281
Colts Neck, NJ 07722-0281
Phone (732) 414-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120509000112 NJ Practitioner - Rheumatology 0042472003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

654 Newman Springs Rd
Suite Dande
Lincroft, NJ 07738-1750
Phone (732) 414-6001

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Merit-based Incentive Payment System (MIPS)

Final score
94.97 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
83.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Arthritis & Osteoporosis, LLC Rheumatology CurrentSince Dec 8, 2014 Accepting new patients
Yale University Past Accepting new patients
Arthritis and Osteoporosis Associates Rheumatology PastSince Aug 12, 1995 Accepting new patients
Northeast Medical Group, Inc. Past Accepting new patients

Locations

654 Newman Springs Rd
Ste De
Lincroft, NJ 07738
Phone (732) 414-6001

219 Taylors Mills Rd
Manalapan, NJ 07726
Phone (732) 780-7650

Interoperability endpoints

  • Direct secure messaging: rafah.salloum.1@11850.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/11850/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rsalloum425442@direct.ahsys.org

Organizations & group practices 4

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 9

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1457417040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220281",
            "telephone_number": "732-414-6001",
            "fax_number": "732-431-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 TAYLORS MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263255",
            "telephone_number": "732-414-6001",
            "fax_number": "732-414-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOUM",
        "first_name": "RAFAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA08174300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.