Individual provider Active NPI

Raef A Elgawli, M.D.

  • Anesthesiology Physician
  • Egg Harbor Township, NJ
National Provider Identifier
1528060142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06020200 Issued in NJ
Practice address
6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543
Phone
(609) 813-2190
NPI assigned
Aug 12, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06020200 NJ Primary

Addresses

Primary practice location

6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543

Mailing address

PO Box 237
Northfield, NJ 08225-0237
Phone (609) 813-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06020200NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Anesthesia and Pain Anesthesiology Past Accepting new patients
Jersey Shore Pain Management Past Accepting new patients
Atlantic Anesthesia & Pain Anesthesiology Past Accepting new patients
South Shore Anesthesia, P.C. Anesthesiology Past Accepting new patients

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, 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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528060142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082250237",
            "telephone_number": "609-813-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 BLACK HORSE PIKE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345543",
            "telephone_number": "609-813-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGAWLI",
        "first_name": "RAEF",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06020200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.