Barry D Raphael, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI12040 Issued in NJ

Practice address

1425 Broad St
Clifton, NJ 07013-4201

Phone

(973) 778-4222

Fax

(973) 778-9625

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Barry D. Raphael, DMD, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clifton, NJ
  • NPI 1710992128
  Authorized official Same address or phone

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275548687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134201",
            "telephone_number": "973-778-4222",
            "fax_number": "973-778-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134201",
            "telephone_number": "973-778-4222",
            "fax_number": "973-778-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "BARRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI12040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krupa J Rana, PT, DPT
• Najmul Rana
• Sanketkumar Maheshbhai Rana
• Barbara Blyth Randall, LCSW
• Raphael Osheroff, M.D, P.a.
• Rapid Recovery Health Services
• Rapid Relief Medical Group LLC (Rapid Relief Physical Therapy & Wellness)
• Rapps Pharmacy North, LLC (Rapps Pharmacy North)
• Younis Rasheed, RPH
• Shereen Hawal Rasool, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.