NPIMap

Individual provider Active NPI

Rafat S Choudhry, MD

  • Internal Medicine Physician
  • Pleasantville, NJ
National Provider Identifier
1467538835
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA067637 Issued in NJ
Practice address
1004 S New Rd
Pleasantville, NJ 08232-3730
Phone
(609) 652-4141
Fax
(609) 652-9939
NPI assigned
Oct 28, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA067637 NJ Primary
Hospitalist Physician 208M00000X 25MA06763700 NJ

Addresses

Primary practice location

1004 S New Rd
Pleasantville, NJ 08232-3730

Mailing address

1004 S New Rd
Pleasantville, NJ 08232-3730
Phone (609) 652-4141

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
I20040317000732 NJ Practitioner - Internal Medicine 4082504717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Internal Medicine Associates P.C.Group PAC ID 2163570706, 2 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

1004 S New Rd
Pleasantville, NJ 08232-3730
Phone (609) 652-4141

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue243
Removal of skin lesions84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA067637NJMDInternal Medicine Physician
25MA06763700NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Hospitalist Current Accepting new patients
Regional Internal Medicine Associates, PC Internal Medicine CurrentSince Apr 15, 2009 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Absecon Operator, LLC Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients
Regional Pain Care PC PastSince Jan 28, 2021 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

1925 Pacific Ave
Fl 8
Atlantic City, NJ 08401
Phone (609) 441-8127

314 Chris Gaupp Dr
Ste 201
Galloway, NJ 08205
Phone (609) 404-7797

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1004 S New Rd
Pleasantville, NJ 08232
Phone (609) 652-4141

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1467538835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S NEW RD",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323730",
            "telephone_number": "609-652-4141",
            "fax_number": "609-652-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "RAFAT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA067637",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA06763700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.