NPIMap

Organization Active NPI

Rapha Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Philadelphia, PA
National Provider Identifier
1609045079
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RAPHA FOOT AND ANKLE CENTER
Practice address
4605 Frankford Ave
Philadelphia, PA 19124-5803
Phone
(215) 289-7007
Fax
(215) 289-3400
NPI assigned
Feb 29, 2008
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. Jong Min Lee, DPMNPI 1205915444
Title
Owner
Phone
(215) 289-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4605 Frankford Ave
Philadelphia, PA 19124-5803

Mailing address

10 Liberte LN
Chesterbrook, PA 19087-5721
Phone (610) 584-4143

Other identifiers 2

IdentifierTypeStateIssuer
1009302350001MedicaidPA
5288640001OtherPAMEDICARE NAC (DME)

National Provider Directory

National Provider Directory

Locations

4605 Frankford Ave
Philadelphia, PA 19124
Phone (215) 289-7007

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1609045079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LIBERTE LN",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875721",
            "telephone_number": "610-584-4143",
            "fax_number": "610-584-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245803",
            "telephone_number": "215-289-7007",
            "fax_number": "215-289-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "MIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-289-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009302350001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NAC (DME)",
            "identifier": "5288640001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.