Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Sam Rae, MD

Individual provider Nephrology Physician · NPI 1649277294

Mr. Sam Rae, MD is a Nephrology in Wayne, New Jersey. Qualified in 1989, 37 years ago. Practices with Suburban Nephrology Group PA, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
37
Licensed in
NJ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

342 Hamburg Tpke Ste 201
Wayne, NJ 07470-2162
Phone: (973) 389-1119
Fax: (973) 389-1145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 25MA06232900 (NJ)

Record details

NPI number1649277294
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESAugust 5, 2010
Mailing address342 Hamburg Tpke, Ste 201, Wayne, NJ 07470-2162

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Suburban Nephrology Group Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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