Individual provider Active NPI

Raj Prashant Raval, M.D

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1851682496
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
25MA09752100 Issued in NJ
Practice address
80 Maiden LN RM 905
New York, NY 10038-4675
Phone
(212) 404-8070
NPI assigned
May 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 25MA09752100 NJ Primary

Addresses

Primary practice location

80 Maiden LN RM 905
New York, NY 10038-4675

Mailing address

2 Gold St
Apt # 4212
New York, NY 10038-4821
Phone (212) 404-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160719001948 NJ Practitioner - Physical Medicine and Rehabilitation 2264725944 Reassigns benefits to 2 organizations
I20170619000988 NY Practitioner - Physical Medicine and Rehabilitation 2264725944 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09752100NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ortho & Pain Center Inc CurrentSince Jun 1, 2022 Accepting new patients
Sunil H. Butani Physician P.C. CurrentSince May 1, 2017 Accepting new patients
Downtown Physicians P.C. CurrentSince Apr 20, 2021 Accepting new patients
Sunil H. Butani Physician P.C. Physical Medicine & Rehabilitation CurrentSince May 1, 2017 Accepting new patients
Mid Atlantic Rehabilitation Consultants, LLC Physical Medicine & Rehabilitation CurrentSince May 2, 2016 Accepting new patients
Downtown Physicians Medical PLLC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

550 Newark Ave
Ste 304
Jersey City, NJ 07306
Phone (201) 222-1400

2 Centre Plz
Tinton Falls, NJ 07724
Phone (732) 460-5320

2 Centre Plz
#F
Tinton Falls, NJ 07724
Phone (732) 460-5360

16110 Jamaica Ave
Ste 301
Jamaica, NY 11432
Phone (212) 404-8080

184 Old Country Rd
Mineola, NY 11501
Phone (516) 294-4457

80 Maiden Ln
Rm 905
New York, NY 10038
Phone (212) 404-8070

13104 Liberty Ave
South Richmond Hill, NY 11419
Phone (516) 587-0950

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1851682496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GOLD ST",
            "address_2": "APT # 4212",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384821",
            "telephone_number": "212-404-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN RM 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384675",
            "telephone_number": "212-404-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "RAJ",
        "middle_name": "PRASHANT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-01",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA09752100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.