Michael Ra, D.O., MPT

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

25MB09673700 Issued in NJ

Practice address

175 Gunning River Rd
Barnegat, NJ 08005-1436

Phone

(609) 389-6266

Fax

(609) 660-0003

NPI assigned

Jul 23, 2008

Last updated

Feb 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Physical Medicine and Rehabilitation

Education

Philadelphia College of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Sports Medicine Group, PCGroup PAC ID 3173580511, 15 clinicians

Spine and Sports Medicine of Tinton Falls, LLCGroup PAC ID 9931461696, 7 clinicians

Advanced Spine Care and Physical Rehabilitation,LLCGroup PAC ID 0749269637, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Advanced Spine Care and Physical Rehabilitation,LLC

  • Multi-Specialty Clinic/Center
  • Jackson, NJ
  • NPI 1891816914
  Medicare reassignment Care Compare group NPD
• Spine & Sports Medicine of Tinton Falls LLC

  • Interventional Pain Medicine Physician
  • Tinton Falls, NJ
  • NPI 1801315635

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Northeast Sports Medicine Group, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Point Pleasant Boro, NJ
  • NPI 1811010549
  Medicare reassignment Care Compare group
• Community Hospital Group Inc

  dba Jri Physical Medicine

  • Specialist
  • Edison, NJ
  • NPI 1225251754
  Medicare reassignment NPD
• Spine & Sports Medicine of Barnegat LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Barnegat, NJ
  • NPI 1003154519
  Medicare reassignment
• Community Hospital Group, Inc.

  dba New Jersey Neuroscience Institute

  • Neurology Physician
  • Edison, NJ
  • NPI 1487680013
  NPD
• Community Hospital Group, Inc

  dba JFK MRMC Assistant Surgeons

  • Specialist
  • Edison, NJ
  • NPI 1427278258
  NPD (past)
• Community Hospital Group, Inc

  dba JFK Cardiology

  • Cardiovascular Disease Physician
  • Edison, NJ
  • NPI 1467670224
  NPD (past)
• Northeast Surgery Associates LLC

  • Orthopaedic Surgery Physician
  • Manasquan, NJ
  • NPI 1356929632
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1619132123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GUNNING RIVER RD",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080051436",
            "telephone_number": "609-389-6266",
            "fax_number": "609-660-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GUNNING RIVER RD",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080051436",
            "telephone_number": "609-389-6266",
            "fax_number": "609-660-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O., MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB09673700",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preferred Behavioral Health of New Jersey, Inc
• Preferred Behavioral Health of New Jersey, Inc.
• Preferred Behavioral Health of NJ, Inc
• Andrew G Prokop III, B.S., M.S.P.T.
• Zoric Lennie Proskurovsky, M.D.
• Irina Raskin, FNP-C
• Tamilynn Reese, IDMT
• Relax Your Mind Services, LLC
• Karen L Rieser, SLP
• Riptide Physical Therapy, Inc

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Barnegat, NJ
• Providers in Barnegat, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.