Raquel B Empedrad, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD428661 Issued in PA

Practice address

205 N Broad St
Suite 300
Philadelphia, PA 19107-1554

Phone

(215) 569-1111

Fax

(215) 569-8797

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Raquel B Baladajia Former name

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Specialty

Allergy/Immunology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adult and Pediatric Allergist of Central Jersey PAGroup PAC ID 4183790983, 2 clinicians

Jeffrey Weiss, M.D., P.a.Group PAC ID 0446236483, 18 clinicians

Practice addresses (Care Compare)

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.

• Adult & Pediatric Allergist of Central Jersey PA

  • Allergy & Immunology Physician
  • Edison, NJ
  • NPI 1629131651
  Medicare reassignment Care Compare group NPD
• Jeffrey Weiss MD PA

  • Allergy Physician
  • Riverdale, NJ
  • NPI 1316016629
  Medicare reassignment Care Compare group NPD
• Thomas E Klein MD PC

  • Allergy Physician
  • Havertown, PA
  • NPI 1619994274
  Medicare reassignment NPD
• The Board of Trustees of the University of Illinois

  dba Uic Merit

  • Pediatrics Physician
  • Rockford, IL
  • NPI 1972541902
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1902896988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N BROAD ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071554",
            "telephone_number": "215-569-1111",
            "fax_number": "215-569-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N BROAD ST",
            "address_2": "SUITE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071554",
            "telephone_number": "215-569-1111",
            "fax_number": "215-569-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMPEDRAD",
        "first_name": "RAQUEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA08062300",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD428661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "BALADAJIA",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary A. Emmett, MD
• Carey Lynne Emmons, R.D.,L.D.N.
• Laura Emmons
• Emotional Wellness Clinic PLLC
• Empathy Home Health Care Services
• Empire Home Health Care Inc
• Empire Homecare Agency LLC
• Empire Pharmacy Inc
• Empirical Pediatric Therapy, Inc.
• Empower Behavioral Solutions LLC

• Allergy & Immunology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Allergy & Immunology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.