Individual provider Active NPI

Arie Rave, MD

  • Internal Medicine Physician
  • Ridgewood, NJ
National Provider Identifier
1184635377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06166300 Issued in NJ
Practice address
1250 E Ridgewood Ave
Ridgewood, NJ 07450
Phone
(201) 689-1900
Fax
(201) 447-9011
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06166300 NJ Primary

Addresses

Primary practice location

1250 E Ridgewood Ave
Ridgewood, NJ 07450

Mailing address

1250 E Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 689-1900

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001038 NJ Practitioner - Internal Medicine 2264477082 Practice locations: Ridgewood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1250 E Ridgewood Ave
Ridgewood, NJ 07450-3930
Phone (201) 689-1900

1250 E Ridgewood Aveneu
Suite 15
Ridgewood, NJ 07450-3930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06166300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arie Rave, MD, PA Internal Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

1250 E Ridgewood Ave
Ste 15
Ridgewood, NJ 07450
Phone (201) 689-1900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184635377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-689-1900",
            "fax_number": "201-447-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-689-1900",
            "fax_number": "201-447-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVE",
        "first_name": "ARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06166300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.