Active NPI
Stephen Ray Ralph, MD
- Family Medicine Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA11165400
- Practice address
- 333 Farmington Dr
Plantation, FL 33317-2630 - Phone
- (954) 552-6424
- NPI assigned
- Mar 30, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA11165400 | NJ | Primary |
Addresses
Primary practice location
333 Farmington Dr
Plantation, FL 33317-2630
Mailing address
333 Farmington Dr
Plantation, FL 33317-2630
Phone (954) 552-6424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211209000039 | NJ | Practitioner - Family Practice | 2769736784 | Reassigns benefits to 1 organization |
| I20230530001124 | CA | Practitioner - Family Practice | 2769736784 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Miami, LM Miller School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Superior Hospitalist Medical Group Inc
Practice addresses (Care Compare)
1680 E 120TH St
Los Angeles, CA 90059-3026
Phone (424) 338-8000
Hospital & facility affiliations
- Martin Luther King, Jr. Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Hospitalist Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Holmdel Physician Associates | Current | Accepting new patients |
Locations
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1780047712
CA, Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114367497
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1780180711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 FARMINGTON DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172630",
"telephone_number": "954-552-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 FARMINGTON DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172630",
"telephone_number": "954-552-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALPH",
"first_name": "STEPHEN",
"middle_name": "RAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA11165400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.