Active NPI
Scott M Raboy, DPM
- Podiatrist
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00188500
- Practice address
- 1081 Paulison Ave
Clifton, NJ 07011-3627 - Phone
- (973) 340-1400
- Fax
- (973) 340-7470
- NPI assigned
- Aug 29, 2006
- Last updated
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 25MD00188500 | NJ | Primary |
Addresses
Primary practice location
1081 Paulison Ave
Clifton, NJ 07011-3627
Mailing address
1081 Paulison Ave
Clifton, NJ 07011-3627
Phone (973) 340-1400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446761000 | Other | NJ | AMERIHEALTH |
| 480028342 | Other | NJ | PALMETTO GBA RAILROAD MED |
| 86986 | Other | NJ | AMERIGROUP |
| F03338 | Other | CARECORE | |
| 0138844 | Other | NJ | GHI |
| HUL000204 | Other | NJ | AMERICHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1081 Paulison Ave
Suite 2
Clifton, NJ 07011-3658
Phone (973) 340-1400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1885 | NJ | MD | Chiropractor |
| 25MD00188500 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Foot and Ankle Center,LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
1081 Paulison Ave
Clifton, NJ 07011
Phone (973) 253-6002
1081 Paulison Ave
Ste 2
Clifton, NJ 07011
Phone (973) 340-1400
176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200
2811 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 319-0008
96 Parkway
Rochelle Park, NJ 07662
Phone (201) 221-2351
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Clifton, NJ
- NPI 1881774560
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
dba CareWell Health Medical Center
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1073622684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 PAULISON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070113627",
"telephone_number": "973-340-1400",
"fax_number": "973-340-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 PAULISON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070113627",
"telephone_number": "973-340-1400",
"fax_number": "973-340-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABOY",
"first_name": "SCOTT",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00188500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0446761000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MED",
"identifier": "480028342",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "86986",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARECORE",
"identifier": "F03338",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0138844",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "HUL000204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.