Organization Active NPI

Barry D. Raphael, DMD, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clifton, NJ
National Provider Identifier
1710992128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DI 12040 Issued in NJ
Legal business name
BARRY D. RAPHAEL, DMD, PA
Practice address
1425 Broad St
Clifton, NJ 07013-4201
Phone
(973) 778-4222
Fax
(973) 778-9625
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Barry D Raphael, DMD
Title
President/Orthodontist
Phone
(973) 778-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DI 12040 NJ Primary

Addresses

Primary practice location

1425 Broad St
Clifton, NJ 07013-4201

Mailing address

1425 Broad St
Clifton, NJ 07013-4201
Phone (973) 778-4222

National Provider Directory

National Provider Directory

Locations

1425 Broad St
Clifton, NJ 07013
Phone (212) 213-3480

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710992128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134201",
            "telephone_number": "973-778-4222",
            "fax_number": "973-778-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070134201",
            "telephone_number": "973-778-4222",
            "fax_number": "973-778-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY D. RAPHAEL, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "973-778-4222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI 12040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.