RAE MEDICAL LLC
NPI 1366639361
Specialist in Newark, NJ
About Rae Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAE MEDICAL LLC (NPI 1366639361) is a healthcare organization registered as a specialist in Newark, New Jersey and active in the NPI registry since October 2007. The organization lists Idean C Watkins, Biller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rae Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rae Medical LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Rae Medical LLC's NPI number?
The NPI number for Rae Medical LLC is 1366639361. It was assigned to this organization in the NPPES registry on October 3, 2007.
Where is Rae Medical LLC located?
Rae Medical LLC is located at 186 W Market St Suite 113, Newark, NJ 07103. The listed phone number is (973) 623-4957.
What is Rae Medical LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Rae Medical LLC enrolled in Medicare?
Yes. Rae Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rae Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Rae Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rae Medical LLC was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Rae Medical Llc · NPI 1366639361
Specialist organization in Newark, New Jersey. Organization record, active in the CMS NPPES registry since October 3, 2007.
## Identity
- **NPI:** 1366639361 (Entity type: Organization)
- **Enumerated:** October 3, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Idean Watkins, BILLER
## Practice location
- **Address:** 186 W MARKET ST, SUITE 113, Newark, NJ 07103-2783
- **Phone:** (973) 623-4957 · **Fax:** (973) 623-2103
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1366639361) · Data from the CMS NPPES public registry.