Todd F Raphaelson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0454151 Issued in NY

Practice address

450 Grand Blvd
Deer Park, NY 11706

Phone

(631) 667-4080

Fax

(631) 667-4261

NPI assigned

Feb 21, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Raphaelson Dental Associates LLP

  • Dentist
  • Deer Park, NY
  • NPI 1548338593
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1154590446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GRAND BLVD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-667-4080",
            "fax_number": "631-667-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GRAND BLVD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-667-4080",
            "fax_number": "631-667-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAELSON",
        "first_name": "TODD",
        "middle_name": "F",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0454151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Ramirez
• Melissa Ramistella
• Valentina Ramku
• Raphaelson Dental Associates LLP
• Ralph B Raphaelson, DDS
• Yeema Rashid
• Daniel Reeves
• Christina Marie Reisert
• Claudia Remonvil Borgella
• Mary Rex

• Dentist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.