Organization Active NPI

Medhat Raouf, M.D., P.a.

  • Internal Medicine Physician
  • Ringwood, NJ
National Provider Identifier
1740444686
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA044564 Issued in NJ
Legal business name
MEDHAT RAOUF, M.D., P.A.
Practice address
60 Skyline Dr
Ringwood, NJ 07456-2012
Phone
(973) 962-4000
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Authorized official

Name
Dr. Medhat Raouf, M.D.
Title
Owner
Phone
(973) 962-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA044564 NJ Primary

Addresses

Primary practice location

60 Skyline Dr
Ringwood, NJ 07456-2012

Mailing address

60 Skyline Dr
Ringwood, NJ 07456-2012
Phone (973) 962-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1740444686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562012",
            "telephone_number": "973-962-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SKYLINE DR",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562012",
            "telephone_number": "973-962-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHAT RAOUF, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "RAOUF",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-962-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA044564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.