Active NPI
Raymond Mirasol, M.D.
- Neurology Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA10907600
- Practice address
- 125 Paterson St Ste 4100
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-7757
- NPI assigned
- May 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA10907600 | NJ | Primary |
Addresses
Primary practice location
125 Paterson St Ste 4100
New Brunswick, NJ 08901-1962
Mailing address
66 W Gilbert St
Tinton Falls, NJ 07701-4947
Phone (843) 459-4120
Other practice location 1
550 1st Ave
New York, NY 10016-6402
Phone (212) 263-7744
Other practice location 2
1 Robert Wood Johnson Pl
New Brunswick, NJ 08901-1928
Phone (732) 828-3000
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.4 of 100
- Quality
- 70.64
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10907600 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Primary Medicine Group | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients | |
| Rutgers Health-RWJ Scleroderma Program | Current | Accepting new patients |
Locations
125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
125 Paterson St
Ste 6100
New Brunswick, NJ 08901
Phone (732) 235-6561
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 5100
New Brunswick, NJ 08901
Phone (732) 235-7060
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
Interoperability endpoints
- rmirasol25513@epicdirect.rwjbh.org
Organizations & group practices 7
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.
-
- Allergy & Immunology (Internal Medicine) Physician
- New Brunswick, NJ
- NPI 1679655781
-
- Internal Medicine Physician
- New Brunswick, NJ
- NPI 1992887012
-
- Pediatric Adolescent Medicine Physician
- New Brunswick, NJ
- NPI 1023055738
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Pediatric Gastroenterology Physician
- New Brunswick, NJ
- NPI 1629277520
-
- Maternal & Fetal Medicine Physician
- Somerville, NJ
- NPI 1750453346
-
- Radiation Oncology Physician
- New Brunswick, NJ
- NPI 1942249909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1659758035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014947",
"telephone_number": "843-459-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST STE 4100",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-7757"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-7744",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Robert Wood Johnson Pl",
"address_purpose": "LOCATION",
"city": "New Brunswick",
"state": "NJ",
"postal_code": "089011928",
"country_code": "US",
"telephone_number": "732-828-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRASOL",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-05",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA10907600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.