Eduard Raklyar, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

253091-1 Issued in NY

Practice address

47 Orient Way
Rutherford, NJ 07070-2082

Phone

(201) 460-0280

Fax

(201) 460-8084

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

DermatologyAlso: Plastic and Reconstructive Surgery

Education

State University of New York Downstate Medical Center, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Dermatology and Skin Surgery LLCGroup PAC ID 5496897175, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.76 of 100Reported as group

Quality

98.38

Promoting interoperability

100

Improvement activities

40

Cost

70.83

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Dermatology and Skin Surgery LLC

  • Dermatology Physician
  • Paramus, NJ
  • NPI 1194051243
  Medicare reassignment Care Compare group NPD
• Atlantic Gastroenterology, P.C.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1780792119
  NPD
• Norman Minars, MD, PA

  • Specialist
  • Hollywood, FL
  • NPI 1831186170
  NPD (past)
• Nova Medical and Urgent Care Center, Inc.

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742

  Mohs-Micrographic Surgery

  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1790906006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702082",
            "telephone_number": "202-486-8270",
            "fax_number": "201-963-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702082",
            "telephone_number": "201-460-0280",
            "fax_number": "201-460-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKLYAR",
        "first_name": "EDUARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "253091-1",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "253091-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Professional Orthopedic and Sports Physical Therapy of NJ, LLC
• Prohealth Riverside Dental, LLC
• Robert Schorn Purnell, OD
• Raisa Sommers, LCSW, LLC
• Saloni Rajeshbhai Ramani, PT
• Preethi Venugopal Ramaswamy, M.D
• Paul R. Reichert, PT
• Mary Reilly, LPC
• Renewed Therapy Arts

• Dermatology Physician in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.

Verify at the official NPI Registry.