Healthcare Provider Details

I. General information

NPI: 1811850779
Provider Name (Legal Business Name): ROBERT RAGGI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 HAMPTON HOUSE RD, NEWTON, NJ 07860 17 US-206 STE 3, STANHOPE, NJ 07874
STANHOPE NJ
07874
US

IV. Provider business mailing address

11 WOODLAND RD
WANTAGE NJ
07461-1442
US

V. Phone/Fax

Practice location:
  • Phone: 973-446-6606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: