Individual provider Active NPI

Raphael Yitz Csillag, D.D.S.

  • Periodontics
  • Parsippany, NJ
National Provider Identifier
1447323753
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
50-052742 Issued in NY
Practice address
39 Littleton Rd
Parsippany, NJ 07054-2801
Phone
(973) 334-3811
Fax
(397) 334-0155
NPI assigned
Nov 16, 2006
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 22D1017800 NJ
Periodontics 1223P0300X 50-052742 NY Primary

Addresses

Primary practice location

39 Littleton Rd
Parsippany, NJ 07054-2801

Mailing address

21 Fox Run Dr
Englewood, NJ 07631-5052
Phone (973) 334-3811

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22D1017800NJMDPeriodontist
50-052742NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1447323753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FOX RUN DR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076315052",
            "telephone_number": "973-334-3811",
            "fax_number": "973-334-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 LITTLETON RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542801",
            "telephone_number": "973-334-3811",
            "fax_number": "397-334-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSILLAG",
        "first_name": "RAPHAEL",
        "middle_name": "YITZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22D1017800",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "50-052742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.