Individual provider Active NPI

Taswiyah Ra'Oof-Saleem, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Jersey City, NJ
National Provider Identifier
1487432878
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ14844500 Issued in NJ
Practice address
935 Garfield Ave
Jersey City, NJ 07304-2731
Phone
(201) 478-5800
Fax
(201) 478-5814
NPI assigned
Sep 18, 2023
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ14844500 NJ Primary

Addresses

Primary practice location

935 Garfield Ave
Jersey City, NJ 07304-2731

Mailing address

50A Newark Way
Maplewood, NJ 07040-3310
Phone (973) 885-0475

Other names 1

  • Mrs. Taswiyah Raoof Professional name

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
I20231023003082 NJ Practitioner - Nurse Practitioner 0042666356 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14844500NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Family Health Network, Inc. Current Accepting new patients
Metropolitan Family Health Network, Inc. CurrentSince Oct 24, 2024 Accepting new patients
Metropolitan Family Health Network, Inc CurrentSince Oct 24, 2024 Accepting new patients

Locations

935 Garfield Ave
Jersey City, NJ 07304
Phone (201) 478-5800

935 Garfield Ave
Fl 3
Jersey City, NJ 07304
Phone (201) 478-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHEIBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1487432878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50A NEWARK WAY",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403310",
            "telephone_number": "973-885-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 GARFIELD AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042731",
            "telephone_number": "201-478-5800",
            "fax_number": "201-478-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RA'OOF-SALEEM",
        "first_name": "TASWIYAH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14844500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASWIYAH",
            "last_name": "RAOOF",
            "prefix": "MRS.",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.