Joseph R. Raccuglia, MD, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25MA06096200 Issued in NJ

Legal business name

JOSEPH R. RACCUGLIA, MD, LLC

Practice address

4251 US Highway 9
Suite 3-a
Freehold, NJ 07728-8303

Phone

(732) 780-3744

Fax

(732) 780-9644

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph R Raccuglia, MDNPI 1750328993

Title

President

Phone

(732) 780-3744

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Richard Raccuglia, M.D.

  • Family Medicine Physician
  • Freehold, NJ
  • NPI 1750328993
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197158400000",
    "number": "1487797528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OSSENER DR",
            "city": "PERRINEVILLE",
            "state": "NJ",
            "postal_code": "085351032",
            "telephone_number": "732-780-3744",
            "fax_number": "732-780-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 US HIGHWAY 9",
            "address_2": "SUITE 3-A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303",
            "telephone_number": "732-780-3744",
            "fax_number": "732-780-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. RACCUGLIA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-12-09",
        "status": "A",
        "authorized_official_last_name": "RACCUGLIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-780-3744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA06096200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Johnson
• Jointwell Medical PC
• Nancy Jones, LCSW
• Yujia Huang Jones, O.D.
• Fatjona Jonuzi
• Jyotika D Joshi, M.D.
• Neha Hemendra Joshi, DPT , MTS
• Tushar Joshi, DPT
• Joshua Grill DPM PC
• Angela Joven, LCSW

• Primary Care Clinic/Center in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.