Ralph B Raphaelson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

024785-1 Issued in NY

Practice address

450 Grand Blvd
Deer Park, NY 11729-4243

Phone

(631) 667-4080

Fax

(631) 667-4261

NPI assigned

Jan 2, 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

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

Practice roles

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 (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1376728998",
    "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": "117294243",
            "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": "117294243",
            "telephone_number": "631-667-4080",
            "fax_number": "631-667-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAELSON",
        "first_name": "RALPH",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "024785-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangeetha Rajyam
• Emma Ramirez
• Melissa Ramistella
• Valentina Ramku
• Raphaelson Dental Associates LLP
• Todd F Raphaelson, DDS
• Yeema Rashid
• Daniel Reeves
• Christina Marie Reisert
• Claudia Remonvil Borgella

• General Practice Dentistry in Deer Park, NY
• Providers in Deer Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.