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RAAFAT GHOBRAIEL M.D.
NPI 1053490359
Internal Medicine in East Brunswick, NJ

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
79 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816(732) 254-7778 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raafat Ghobraiel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAAFAT GHOBRAIEL M.D. (NPI 1053490359) is an individual internal medicine provider in East Brunswick, New Jersey, licensed in New Jersey (25MA06961700) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Carepoint Health - Bayonne Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1053490359
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAAFAT GHOBRAIELCredential: M.D.
Location Address79 BRUNSWICK WOODS DREast Brunswick, NJ 08816-5601
Mailing Address12 Hamilton DrEast Brunswick, NJ 08816-2709
Phone(732) 254-7778
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateNovember 6, 2006
Last NPPES UpdateJune 6, 2012
✔ NPI 1053490359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06961700
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
79 BRUNSWICK WOODS DR, East Brunswick, NJ 08816
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Other Identifiers 3

Medicare ID-Type Unspecified81036NJ
Medicaid8976406NJ
Medicare UPING71712NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raafat Ghobraiel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668444969
PECOS Enrollment IDI20040809000090
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
303 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310025
Location29 East 29th StBayonne, NJ 07002 · Hudson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims32 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims13 services$0.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST HEALTH ASSOCIATES, LLC
Internal Medicine
79 BRUNSWICK WOODS DR
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 254-7778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raafat Ghobraiel's NPI number?

The NPI number for Raafat Ghobraiel is 1053490359. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Raafat Ghobraiel located?

Raafat Ghobraiel practices at 79 Brunswick Woods Dr, East Brunswick, NJ 08816. The listed phone number is (732) 254-7778.

What is Raafat Ghobraiel's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raafat Ghobraiel enrolled in Medicare?

Yes. Raafat Ghobraiel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raafat Ghobraiel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Raafat Ghobraiel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raafat Ghobraiel affiliated with any hospitals?

According to CMS data, Raafat Ghobraiel is affiliated with Carepoint Health - Bayonne Medical Center.

When was this NPI record last updated?

The NPPES record for Raafat Ghobraiel was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.