Individual provider Active NPI

Keith Ann Raser, M.D.

  • Psychiatry Physician
  • Pennington, NJ
National Provider Identifier
1881885804
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06689800 Issued in NJ
Practice address
100 Straube Center Blvd
Box H-1
Pennington, NJ 08534-1447
Phone
(609) 737-7797
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06689800 NJ Primary

Addresses

Primary practice location

100 Straube Center Blvd
Box H-1
Pennington, NJ 08534-1447

Mailing address

100 Straube Center Blvd
Box H-1
Pennington, NJ 08534-1447
Phone (609) 737-7797

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
I20071129000406 NJ Practitioner - Psychiatry 6002905973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northwestern University Feinberg Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woods Psychotherapy Services, LLCGroup PAC ID 3476564873, 8 clinicians

Practice addresses (Care Compare)

100 Straube Ctr Blvd
Pennington, NJ 08534-1468
Phone (609) 737-7797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06689800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woods Psychotherapy Services, LLC CurrentSince Jul 1, 2007 Accepting new patients
Woods Psychotherapy Services LLC Psychiatry Past Accepting new patients
Integrated Behavioral Care PA Psychiatry PastSince Jul 27, 2016 Accepting new patients

Locations

100 Straube Center Blvd
Pennington, NJ 08534
Phone (609) 730-9553

100 Straube Center Blvd
#H1
Pennington, NJ 08534
Phone (609) 737-7797

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1881885804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STRAUBE CENTER BLVD",
            "address_2": "BOX H-1",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341447",
            "telephone_number": "609-737-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STRAUBE CENTER BLVD",
            "address_2": "BOX H-1",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341447",
            "telephone_number": "609-737-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASER",
        "first_name": "KEITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06689800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.