NPIMap

Individual provider Active NPI

David Fred Ratliff, M.D.

  • Orthopaedic Hand Surgery Physician
  • Wayne, NJ
National Provider Identifier
1740569805
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
25MA09643600 Issued in NJ
Practice address
2025 Hamburg Tpke Ste C
Wayne, NJ 07470-6250
Phone
(973) 898-5999
Fax
(973) 831-2025
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 262236 NY
Orthopaedic Hand Surgery Physician 207XS0106X 25MA09643600 NJ Primary

Addresses

Primary practice location

2025 Hamburg Tpke Ste C
Wayne, NJ 07470-6250

Mailing address

2025 Hamburg Tpke Ste C
Wayne, NJ 07470-6250
Phone (973) 898-5999

Other identifiers 2

IdentifierTypeStateIssuer
25MA09643600OtherNJNJ MEDICAL LICENSE
262236OtherNYLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210001739 NJ Practitioner - Orthopedic Surgery 6103090287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Orthopaedics of New JerseyGroup PAC ID 2860828241, 7 clinicians

Practice addresses (Care Compare)

2025 Hamburg Tpke
Suite C
Wayne, NJ 07470-6250
Phone (201) 572-7982

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)12
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Orthopaedics of New Jersey Hand Surgery CurrentSince Jan 1, 2020 Accepting new patients

Locations

72 N Route 17
Paramus, NJ 07652
Phone (201) 751-2301

3799 US Highway 46
Ste 207
Parsippany, NJ 07054

2025 Hamburg Tpke
Ste C
Wayne, NJ 07470
Phone (201) 572-7982

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1740569805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 HAMBURG TPKE STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706250",
            "telephone_number": "973-898-5999",
            "fax_number": "973-831-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HAMBURG TPKE STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706250",
            "telephone_number": "973-898-5999",
            "fax_number": "973-831-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "DAVID",
        "middle_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "262236",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA09643600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAL LICENSE",
            "identifier": "25MA09643600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "262236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.