RAPHAEL OSHEROFF, M.D, P.A. (NPI# 1891913141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891913141 |
Entity Type | Organization |
Organization Name | RAPHAEL OSHEROFF, M.D, P.A. |
Practice Address |
385 Lakeview Ave Clifton NJ 07011-4035 |
Mailing Address |
2 Hamilton Ave Cranford NJ 07016-2427 |
Practice Telephone | 9739282777 |
Practice Fax Number | 9739282776 |
Mailing Telephone | 9739282777 |
Mailing Fax Number | 9739282776 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RAPHAEL J OSHEROFF (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9739282777 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | 175535-1 | NY | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 25MA06156400 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | NJ DEA | BO4332095 | 01 |
NJ | 6919600 | 05 |
Street Address |
385 LAKEVIEW AVE |
City | CLIFTON |
State | NJ |
Zip Code | 07011-4035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821490038 | Clifford Acupuncture | Clinic/Center | 385 Lakeview Ave, Clifton, NJ 07011-4074 | 2014-09-18 |
1295069003 | Dr John R Mordaga PC | Chiropractor | 385 Lakeview Ave, Clifton, NJ 07011-4074 | 2009-09-25 |
1730331091 | John R Mordaga | Chiropractor | 385 Lakeview Ave, Clifton, NJ 07011-4035 | 2008-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285101980 | Trucare Adult Medical Day Care | Clinic/Center | 111 Paulison Avenue, Clifton, NJ 07011 | 2018-10-31 |
1801389903 | Sonja Abbassi Md | Internal Medicine | 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 | 2018-06-13 |
1346747003 | Laquanda Kiera Turner | Social Worker | 139 Lake Avenue, Clifton, NJ 07011 | 2018-04-10 |
1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
1982124707 | Rana Garris | Student in an Organized Health Care Education/Training Program | 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 | 2017-06-22 |
1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
1346694114 | Desjet LLC | Emergency Medicine | 35 Ackerman Avenue, Clifton, NJ 07011 | 2016-04-19 |
1437524493 | Pooja Jainish Vashi | Physical Therapist | 246 Clifton Ave Ste 5, Clifton, NJ 07011 | 2015-12-02 |
1093122830 | Truecare | Ambulance | 135 Demott Ave, 135, Clifton, NJ 07011 | 2014-07-14 |
1952641391 | Y.a.f.a. Group LLC | Ambulance | 11 Richmond St, Clifton, NJ 07011 | 2013-02-21 |
Find all providers in zip 07011 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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---|---|---|---|---|
1235655077 | Pediatrics First LLC | General Practice | 716 Broad St, Clifton, NJ 07013-1645 | 2017-08-14 |
1235371576 | Broad Street Wellness Center | General Practice | 642 Broad St, 2nd Fl; Ste 9, Clifton, NJ 07013-1615 | 2009-04-01 |
1598777112 | Jesse Mangone | General Practice | 1117 Us Highway 46, Suite 202, Clifton, NJ 07013-2449 | 2006-08-12 |
1073525614 | Whitney Medical, Associates, P.a. | General Practice | 1117 Us Highway 46, Clifton, NJ 07013-2449 | 2006-08-12 |
1447223086 | Richard G Spitzer | General Practice | 201 S Avenue T, Clifton, TX 76634-1855 | 2006-02-13 |
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1902406010 | Nurse Practitioner Affiliates LLC | General Practice | 1608 Route 88 Ste 301, Brick, NJ 08724-3009 | 2020-10-28 |
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1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
1225659022 | Edmontz Alectus | General Practice | 43 Liberty St, West Orange, NJ 07052-5501 | 2020-05-03 |
1952920274 | Carmen Sofia Arismendy | General Practice | 235 Burnside Pl, Ridgewood, NJ 07450-1701 | 2020-04-16 |
1699304949 | Maria Izabel Salazar Izeppi | General Practice | 51 Fawn Hollow Rd, Burlington, NJ 08016-3966 | 2020-04-07 |
1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.