DR. RAED A JITAN M.D. NPI 1033167986

NPI Information

NPI: 1033167986
Provider Name: DR. RAED A JITAN, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
15 MCCAMPBELL RD
HOLMDEL, NJ
ZIP 07733
Phone: (732) 946-0995
Get Directions

DR. Raed A Jitan, M.D. is a cardiovascular disease internal medicine in Holmdel, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Raed A Jitan, M.D. NPI is 1033167986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 MCCAMPBELL RD
HOLMDEL, NJ
ZIP 07733-291
Phone: (732) 946-0995
Fax: (732) 946-0995

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA07843100	NEW JERSEY	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	17922	WEST VIRGINIA	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	31939	KENTUCKY	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	20531	SOUTH CAROLINA	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	23877	ALABAMA	No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	29166	IOWA	No
7	207RC0000X	Internal Medicine	Cardiovascular Disease	84811	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G14622	MEDICARE UPIN	WEST VIRGINIA
2	0176401	MEDICAID	OHIO
3	4192092	MEDICARE PIN	OHIO
4	64319395	MEDICAID	KENTUCKY
5	0078319000	MEDICAID	WEST VIRGINIA
6	JI408911	MEDICARE PIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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