MR. RAFAEL HAIM SROUR
NPI 1750198958
Physical Therapist - Geriatrics in Long Branch, NJ
About Mr. Rafael Haim Srour NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RAFAEL HAIM SROUR (NPI 1750198958) is an individual geriatrics provider in Long Branch, New Jersey, licensed in New Jersey (40QA02309900) and active in the NPI registry since December 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Rafael Haim Srour is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rafael Srour reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pomona, NY 10970
- Reassigned Medicare billing, New Jersey enrollment
- 27 clinicians in this Medicare group
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 Rafael Srour's NPI number?
The NPI number for Rafael Srour is 1750198958. It was assigned to this individual provider in the NPPES registry on December 12, 2024.
Where is Rafael Srour located?
Rafael Srour practices at 737 Wertheim Pl Unit B, Long Branch, NJ 07740. The listed phone number is (347) 461-4669.
What is Rafael Srour's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.
Is Rafael Srour enrolled in Medicare?
Yes. Rafael Srour is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rafael Srour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Srour reassigns Medicare benefits to Stern At Home Physical Therapy PC (Pomona, NY). The 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 Rafael Srour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rafael Srour was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mr. Rafael Haim Srour · NPI 1750198958
Geriatrics provider in Long Branch, New Jersey. Individual provider, active in the CMS NPPES registry since December 12, 2024.
## Identity
- **NPI:** 1750198958 (Entity type: Individual)
- **Enumerated:** December 12, 2024
- **Primary specialty:** Physical Therapist - Geriatrics · taxonomy 2251G0304X
- **State license:** 40QA02309900 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 737 WERTHEIM PL UNIT B, Long Branch, NJ 07740-4913
- **Phone:** (347) 461-4669
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Stern At Home Physical Therapy PC (NPI 1720563380, Pomona, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750198958) · Data from the CMS NPPES public registry.