Individual provider Active NPI

Stephen David Raphael, M.D.

  • Internal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1477599702
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA040698 Issued in NJ
Practice address
3 Brendenwood Dr
Voorhees, NJ 08043-1603
Phone
(856) 874-0202
Fax
(856) 874-0220
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA040698 NJ Primary

Addresses

Primary practice location

3 Brendenwood Dr
Voorhees, NJ 08043-1603

Mailing address

3 Brendenwood Dr
Voorhees, NJ 08043-1603
Phone (856) 874-0202

Other identifiers 1

IdentifierTypeStateIssuer
2198304NJMedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000072 NJ Practitioner - Internal Medicine 1557357753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

3 Brendenwood Dr
Voorhees, NJ 08043-1603
Phone (856) 428-1890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA040698NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Feingold MD LLC Current Accepting new patients
Consensus Medical Group LLC Internal Medicine CurrentSince Jun 13, 2023 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

404 Lippincott Dr
Marlton, NJ 08053

2301 E Evesham Rd
Ste 307
Voorhees, NJ 08043
Phone (856) 429-6267

3 Brendenwood Dr
Voorhees, NJ 08043
Phone (856) 874-0202

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1477599702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRENDENWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431603",
            "telephone_number": "856-874-0202",
            "fax_number": "856-874-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRENDENWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431603",
            "telephone_number": "856-874-0202",
            "fax_number": "856-874-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA040698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2198304NJ",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.