Raphael Paisner, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA04799500 Issued in NJ

Practice address

73 Park St
Montclair, NJ 07042-2903

Phone

(973) 746-7375

Fax

(973) 746-6772

NPI assigned

Nov 20, 2006

Last updated

Dec 12, 2017By the provider in NPPES

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care Partners, LLC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1083900526

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1619041977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LB# 7550 PO BOX 95000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422903",
            "telephone_number": "973-746-7375",
            "fax_number": "973-746-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAISNER",
        "first_name": "RAPHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04799500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheng Ow, M.D.
• Oxytocin Enterprises LLC (Milkwell)
• P.Haigney,L. Ac. (Dr. Peter Haigney)
• Alessia Pace
• Lewis C. Pagano, LPC
• Behnaz Pakizegi, PH.D.
• Christina Pallotta, LCSW
• Claudia Rose Palma, LSW
• Kristen Palmieri, LSW
• Maria Abigail Pama, APN

• Pediatrics Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.