Joseph Raevis III

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

70542 Issued in WI

Practice address

39 Sycamore Ave Ste 201
Little Silver, NJ 07739-1208

Phone

(732) 530-7730

Fax

(732) 530-3837

NPI assigned

Apr 22, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Georgetown University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monmouth Retina Consultants PAGroup PAC ID 2860492170, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ocean Medical Center Hospital, Brick, NJ, CCN 310052
• Community Medical Center Hospital, Toms River, NJ, CCN 310041
• Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.raevis.p7@direct.grophthalmology.nextgenshare.com
• Direct secure messaging: joseph.raevis.1@13421.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jraevis@monmouthretina.intellechartdirect.net
• FHIR API: https://api.platform.athenahealth.com/13421/brand/1/csg/1/fhir/r4

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.

• Monmouth Retina Consultants, P.a.

  • Ophthalmology Physician
  • Little Silver, NJ
  • NPI 1437179942
  Medicare reassignment Care Compare group NPD
• Retina Consultants Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Little Silver, NJ
  • NPI 1427078930
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Holmdel, NJ
  • NPI 1740907336

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Holmdel, NJ
  • NPI 1760994412
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1508253048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W JOHNSON ST APT 934",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SYCAMORE AVE STE 201",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391208",
            "telephone_number": "732-530-7730",
            "fax_number": "732-530-3837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Mule Rd Ste 3&4",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087555043",
            "country_code": "US",
            "telephone_number": "732-341-4566",
            "fax_number": "732-341-6742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAEVIS",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "70542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Qian, PHARM.D.
• Ian Vimar Quinitio Quintanilla, APN
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• Sangmi Ra, DIPL.AC., L.AC
• Cara Raboteau, L.AC., DIPL.AC.
• Red Bank Radiologists, PA
• Red Bank Regional High School
• Nicolette J Reese
• Regional Cancer Care Associates LLC
• Regional Cancer Care Associates LLC

• Ophthalmology Physician in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.