Active NPI
Jana Raskova, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Highland Park, NJ
National Provider Identifier
1700046679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 25 MA 04118500
- Practice address
- 400 Harrison Ave
Highland Park, NJ 08904-2708 - Phone
- (732) 846-1617
- Fax
- (732) 828-2181
- NPI assigned
- Jun 13, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 25 MA 04118500 | NJ | Primary |
Addresses
Primary practice location
400 Harrison Ave
Highland Park, NJ 08904-2708
Mailing address
400 Harrison Ave
Highland Park, NJ 08904-2708
Phone (732) 846-1617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1616307 | Medicaid | NJ |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25 MA 04118500 | NJ | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1700046679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HARRISON AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042708",
"telephone_number": "732-846-1617",
"fax_number": "732-828-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HARRISON AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042708",
"telephone_number": "732-846-1617",
"fax_number": "732-828-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASKOVA",
"first_name": "JANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NJ",
"license": "25 MA 04118500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1616307",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.