Organization Active NPI

Mohammad a. Raza, M.D., PA

  • Nephrology Physician
  • Ewing, NJ
National Provider Identifier
1740345990
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MOHAMMAD A. RAZA, M.D., PA
Practice address
1520 Pennington Rd
Ewing, NJ 08618-1307
Phone
(609) 538-8116
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mohammad A Raza, M.D.
Title
Owner
Phone
(609) 538-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1520 Pennington Rd
Ewing, NJ 08618-1307

Mailing address

1520 Pennington Rd
Ewing, NJ 08618-1307
Phone (609) 538-8116

Other identifiers 4

IdentifierTypeStateIssuer
1034435OtherNJMERCY HEALTH PLAN
13068OtherNJUNIVERSITY HEALTH PLAN
1969307MedicaidNJ
0075298000OtherNJAMERIHEALTH

National Provider Directory

National Provider Directory

Locations

1520 Pennington Rd
Ewing, NJ 08618
Phone (609) 538-8116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1740345990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181307",
            "telephone_number": "609-538-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086181307",
            "telephone_number": "609-538-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD A. RAZA, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-538-8116",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY HEALTH PLAN",
            "identifier": "1034435",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "13068",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1969307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0075298000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.