Individual provider Active NPI

Raji Mathew, CRNP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1982960589
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000658 Issued in DE
Practice address
4051 Ogletown-Stanton Rd
Newark, DE 19713-1338
Phone
(302) 943-0426
Fax
(877) 383-8544
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000658 DE Primary

Addresses

Primary practice location

4051 Ogletown-Stanton Rd
Newark, DE 19713-1338

Mailing address

1601 Milltown Rd
Ste 2
Wilmington, DE 19808-4047
Phone (302) 352-0517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140214000263 DE Practitioner - Nurse Practitioner 9931361854 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De Pacs 2 PAGroup PAC ID 0244580926, 26 clinicians
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians

Practice addresses (Care Compare)

1212 Foulk Rd
Wilmington, DE 19803-2741
Phone (302) 246-8600

1519 Rockland Rd
Wilmington, DE 19803-3611
Phone (302) 777-3099

1912 Marsh Rd
Wilmington, DE 19810-3954
Phone (302) 529-1600

2723 Shipley Rd
Wilmington, DE 19810-3251
Phone (302) 479-0111

6677 Lancaster Pike
Hockessin, DE 19707-9503
Phone (302) 239-3200

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181

810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Vitas Healthcare Corporation Atlantic Hospice, Newark, DE, CCN 081507
  • Encore at Wilmington Nursing home, Wilmington, DE, CCN 085031

Merit-based Incentive Payment System (MIPS)

Final score
93.63 of 100Reported as apm
Quality
67.26
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Post Acute Medical Services 1 CurrentSince Mar 11, 2024 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince Jun 1, 2018 Accepting new patients
De Pacs 2 PA CurrentSince Mar 11, 2024 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Lancaster Hma Physician Management, LLC Past Accepting new patients

Locations

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1982960589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "STE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084047",
            "telephone_number": "302-352-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 OGLETOWN-STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131338",
            "telephone_number": "302-943-0426",
            "fax_number": "877-383-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "RAJI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.