MISS PAOLA CAEIRO RAGUSEO R.N., APN-BC NPI 1770743866

Nurse Practitioner (Adult Health) in Clark, NJ

NPI 1770743866 Individual Female Years of Experience 15 Nurse Practitioner Adult Health PECOS Enrolled Accepts Medicare Approved Payment

About PAOLA RAGUSEO

Paola Raguseo is a provider established in Clark, New Jersey and her medical specialization is nurse practitioner (adult health) with more than 15 years of experience. The NPI number of Paola Raguseo is 1770743866 and was assigned on June 2008. The practitioner's primary taxonomy code is 363LA2200X with license number 26NJ00159800 (NJ). The provider is registered as an individual and her NPI record was last updated 6 years ago.

A nurse practitioner (NP) like Miss Paola Caeiro Raguseo R.n., Apn-bc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Paola Raguseo is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Paola Raguseo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Centrastate Medical Center.

NPI

1770743866

Provider NameMISS PAOLA CAEIRO RAGUSEO R.N., APN-BC
Provider Location Address152 CENTRAL AVE CLARK, NJ 07066
Provider Mailing Address152 CENTRAL AVE CLARK, NJ 07066
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-11-2008
Last Update Date03-24-2016


Primary Taxonomy

Taxonomy Code363LA2200X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationAdult Health
License No.26NJ00159800
License StateNJ

Business Address

MISS PAOLA CAEIRO RAGUSEO R.N., APN-BC
152 CENTRAL AVE
CLARK, NJ
ZIP 07066
Phone: (732) 382-9700
Fax: (732) 382-9707

Get Directions


Mailing Address

MISS PAOLA CAEIRO RAGUSEO R.N., APN-BC
152 CENTRAL AVE
CLARK, NJ
ZIP 07066
Phone: (732) 382-9700
Fax: (732) 382-9707



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9537348396
PECOS Enrollment IDI20110125001084
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 43Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 13Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paola Raguseo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CENTRASTATE MEDICAL CENTER901 WEST MAIN STREET
FREEHOLD, NJ 7728
(732) 431-2000Acute Care Hospitals310111

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629167606DR. ROBERT JOSEPH MARTINO DDS
Individual
Dentist (General Practice)152 CENTRAL AVE SUITE 202
CLARK, NJ 07066
(732) 382-8280
1942380548MRS. KATHLEEN MARIE HUGHES MPT
Individual
Physical Therapist152 CENTRAL AVE 2ND FLOOR
CLARK, NJ 07066
(732) 499-4540
1568654192 RAISA SIGALOVA MS, PT
Individual
Physical Therapist152 CENTRAL AVE 2ND FLOOR
CLARK, NJ 07066
(732) 499-4540
1093036436 KWAKYE ERIC ACHEAMPONG PHARM.D
Individual
Pharmacist152 CENTRAL AVE
CLARK, NJ 07066
(732) 815-9320
1558604595 NICOLE M JANUIK
Individual
Nurse Practitioner (Adult Health)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1689080434MS. SULEIMA ROSARIO-DIAZ APN
Individual
Nurse Practitioner (Adult Health)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1043389083 ASHA M VIJAYAKUMAR M.D
Individual
Internal Medicine152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1396291597 COURTNEY ALISE ELEDGE APN-C
Individual
Nurse Practitioner (Primary Care)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1164817284 ALLISON CARRIE SCEPPAGUERCIO D.M.D.
Individual
Dentist152 CENTRAL AVE #202
CLARK, NJ 07066
(732) 382-8280
1568685980FIRST HEALTH, P.A.
Organization
Family Medicine152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1639601024PARAMUS MULTICARE
Organization
Family Medicine152 CENTRAL AVE
CLARK, NJ 07066
(732) 726-0020
1679006563MRS. NADINE A WILLIAMS APN
Individual
Nurse Practitioner (Adult Health)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1164952198MRS. SVETLANA JAYSON AGPCNP-BC
Individual
Nurse Practitioner (Gerontology)152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700
1154851475ADMED CENTERS LLC
Organization
Internal Medicine (Addiction Medicine)152 CENTRAL AVE
CLARK, NJ 07066
1043780802 TRACEY COLEMAN NP
Individual
Nurse Practitioner152 CENTRAL AVE
CLARK, NJ 07066
(732) 382-9700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.