Active NPI
Steven Mark Raikin, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Bensalem, PA
National Provider Identifier
1265487623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- MD070216L
- Practice address
- 3300 Tillman Dr FL 2
Bensalem, PA 19020-2071 - Phone
- (267) 339-3558
- Fax
- (267) 339-3763
- NPI assigned
- May 24, 2006
- Last updated
- Feb 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 25MA07108800 | NJ | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | ME152909 | FL | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | MD070216L | PA | Primary |
Addresses
Primary practice location
3300 Tillman Dr FL 2
Bensalem, PA 19020-2071
Mailing address
833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (800) 321-9999
Other practice location 1
925 Chestnut St
5th Floor
Philadelphia, PA 19107-4216
Phone (267) 339-3500
Other practice location 2
999 Route 73 N Ste 401
Marlton, NJ 08053-1227
Phone (800) 321-9999
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2378279 | Other | NJ | AETNA |
| 0559350000 | Other | PA | IBC |
| 0803514000 | Other | NJ | IBC |
| 2265820 | Other | PA | AETNA |
| 2784525 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152909 | FL | MD | Orthopaedic Foot and Ankle Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1265487623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 CHESTNUT ST STE 520",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074430",
"telephone_number": "800-321-9999",
"fax_number": "267-339-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 TILLMAN DR FL 2",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202071",
"telephone_number": "267-339-3558",
"fax_number": "267-339-3763"
}
],
"practiceLocations": [
{
"address_1": "925 Chestnut St",
"address_2": "5th Floor",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074216",
"country_code": "US",
"telephone_number": "267-339-3500",
"fax_number": "215-503-0580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 Route 73 N Ste 401",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080531227",
"country_code": "US",
"telephone_number": "800-321-9999",
"fax_number": "267-479-1321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAIKIN",
"first_name": "STEVEN",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NJ",
"license": "25MA07108800",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "FL",
"license": "ME152909",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "PA",
"license": "MD070216L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2378279",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0559350000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "0803514000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2265820",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2784525",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.