Active NPI
Gary Raff, B.S., RT(R), R.C.I.S
- Cardiovascular-Interventional Technology Radiologic Technologist
- Boca Raton, FL
National Provider Identifier
1467657155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular-Interventional Technology Radiologic Technologist
- License
- 00052044
- Practice address
- 5901 Broken Sound Pkwy NW
Ste. 500
Boca Raton, FL 33487-2773 - Phone
- (800) 875-8999
- NPI assigned
- Jun 20, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular-Interventional Technology Radiologic Technologist | 2471C1101X | 00052044 | Primary | |
| Radiography Radiologic Technologist | 2471C3402X | 305674 | ||
| Radiography Radiologic Technologist | 2471C3402X | 26514 | TX | |
| Radiography Radiologic Technologist | 2471C3402X | CRT-72638 | FL |
Addresses
Primary practice location
5901 Broken Sound Pkwy NW
Ste. 500
Boca Raton, FL 33487-2773
Mailing address
5205 Saddle Ridge TRL
San Angelo, TX 76904-7267
Phone (325) 949-7599
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT-72638 | FL | MD | Radiography Radiologic Technologist |
| 26514 | TX | MD | Radiography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club Staffing | Past | Accepting new patients | |
| Club Staffing | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1568652972
-
- Long Term Care Hospital
- Fredericksburg, VA
- NPI 1952509788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467657155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 SADDLE RIDGE TRL",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047267",
"telephone_number": "325-949-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 BROKEN SOUND PKWY NW",
"address_2": "STE. 500",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872773",
"telephone_number": "800-875-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFF",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "B.S., RT(R), R.C.I.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2471C1101X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
"state": null,
"license": "00052044",
"primary": true
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": null,
"license": "305674",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "TX",
"license": "26514",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "FL",
"license": "CRT-72638",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.