NPIMap

Individual provider Active NPI

Muhammad Rehan Raza, MD

  • Cardiovascular Disease Physician
  • Brick, NJ
National Provider Identifier
1851607303
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10351200 Issued in NJ
Practice address
495 Jack Martin Blvd Ste 2
Brick, NJ 08724-7778
Phone
(732) 458-8299
NPI assigned
Aug 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 25MA10351200 NJ Primary

Addresses

Primary practice location

495 Jack Martin Blvd Ste 2
Brick, NJ 08724-7778

Mailing address

394 Dongan Hills Ave
Staten Island, NY 10305-2229
Phone (347) 857-5861

Other identifiers 1

IdentifierTypeStateIssuer
674028MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702000335 NJ Practitioner - Cardiovascular Disease (Cardiology) 6507174901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ea Health - New Jersey LLCGroup PAC ID 6103222039, 37 clinicians
Cardiology Associates of Ocean CountyGroup PAC ID 7810886389, 5 clinicians

Practice addresses (Care Compare)

1945 Route 33
Neptune, NJ 07753
Phone (732) 775-5500

495 Jack Martin Blvd
Suite 2
Brick, NJ 08724-7778
Phone (732) 458-7575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.5 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272526NYMDLicensed Practical Nurse
25MA10351200NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Ocean County Cardiovascular Disease CurrentSince Jul 15, 2018 Accepting new patients
Ea Health - New Jersey LLC CurrentSince Aug 1, 2023 Accepting new patients
Meridian Cardiovascular Interpretive Services PC Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients

Locations

495 Jack Martin Blvd
Ste 2
Brick, NJ 08724
Phone (732) 458-7575

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

27 S Cooks Bridge Rd
Ste 2-10
Jackson, NJ 08527
Phone (732) 341-1380

2414 Highway 35
Manasquan, NJ 08736
Phone (732) 223-1170

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Organizations & group practices 3

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 10

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": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1851607303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 DONGAN HILLS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052229",
            "telephone_number": "347-857-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD STE 2",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-458-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZA",
        "first_name": "MUHAMMAD REHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-22",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10351200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674028",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.