Active NPI
Rick A Raimondo, M.D.
- Orthopaedic Surgery Physician
- Moorestown, NJ
National Provider Identifier
1831144138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA69344
- Practice address
- 401 Young Ave
Suite 245
Moorestown, NJ 08057-3130 - Phone
- (609) 267-9400
- Fax
- (609) 288-6446
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA69344 | NJ | Primary |
Addresses
Primary practice location
401 Young Ave
Suite 245
Moorestown, NJ 08057-3130
Mailing address
4 Eves Dr # a
Suite 100
Marlton, NJ 08053-3195
Phone (609) 267-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808540000 | Other | NJ | AMERIHEALTH HMO ID |
| 000901220 | Other | NJ | HIGHMARK BLUE SHIELD ID |
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 |
|---|---|---|---|
| MA69344 | NJ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1831144138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 EVES DR # A",
"address_2": "SUITE 100",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533195",
"telephone_number": "609-267-9400",
"fax_number": "609-288-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 YOUNG AVE",
"address_2": "SUITE 245",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573130",
"telephone_number": "609-267-9400",
"fax_number": "609-288-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIMONDO",
"first_name": "RICK",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA69344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO ID",
"identifier": "0808540000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD ID",
"identifier": "000901220",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.