Individual provider Active NPI

Joseph Richard Raccuglia, M.D.

  • Family Medicine Physician
  • Freehold, NJ
National Provider Identifier
1750328993
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06096200 Issued in NJ
Practice address
4251 US Highway 9
Suite 3-a
Freehold, NJ 07728-8303
Phone
(732) 780-3744
Fax
(732) 780-9644
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06096200 NJ Primary

Addresses

Primary practice location

4251 US Highway 9
Suite 3-a
Freehold, NJ 07728-8303

Mailing address

10 Ossener Dr
Perrineville, NJ 08535-1032
Phone (732) 780-3744

Other identifiers 1

IdentifierTypeStateIssuer
7201907MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000935 NJ Practitioner - Family Practice 7416925789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4251 US Hwy 9
Suite 3 a
Freehold, NJ 07728

4251 US Hwy 9 N
Suite 3a
Freehold, NJ 07728
Phone (732) 780-3744

4251 US Hwy 9 N
Suite 3a
Freehold, NJ 07728-8303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06096200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph R. Raccuglia, MD, LLC CurrentSince May 27, 2003 Accepting new patients
Centrastate Medical Center, Inc Past Accepting new patients

Locations

4251 US Highway 9
Ste 3A
Freehold, NJ 07728
Phone (732) 780-3744

Interoperability endpoints

  • Direct secure messaging: josephraccuglia@jrr.ssdirect.aprima.com
  • Direct secure messaging: jraccuglia425404@direct.ahsys.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1750328993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OSSENER DR",
            "city": "PERRINEVILLE",
            "state": "NJ",
            "postal_code": "085351032",
            "telephone_number": "732-780-3744",
            "fax_number": "732-780-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 US HIGHWAY 9",
            "address_2": "SUITE 3-A",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303",
            "telephone_number": "732-780-3744",
            "fax_number": "732-780-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACCUGLIA",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06096200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201907",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.