Active NPI
Raphael C Giobbe, M.D.
- Diagnostic Radiology Physician
- Jersey City, NJ
National Provider Identifier
1710075775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA02419400
- Practice address
- 142 Palisade Ave
Suite 106
Jersey City, NJ 07306-1133 - Phone
- (201) 795-0700
- Fax
- (201) 795-0874
- NPI assigned
- Oct 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA02419400 | NJ | Primary |
Addresses
Primary practice location
142 Palisade Ave
Suite 106
Jersey City, NJ 07306-1133
Mailing address
142 Palisade Ave
Suite 106
Jersey City, NJ 07306-1133
Phone (201) 795-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136204 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02419400 | NJ | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710075775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 PALISADE AVE",
"address_2": "SUITE 106",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061133",
"telephone_number": "201-795-0700",
"fax_number": "201-795-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 PALISADE AVE",
"address_2": "SUITE 106",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061133",
"telephone_number": "201-795-0700",
"fax_number": "201-795-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIOBBE",
"first_name": "RAPHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA02419400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.