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DR. LORRAINE RAAGAS FORMANES DNP, APN, CPNP
NPI 1063183036
Pediatrics in New Providence, NJ

Active since September 21, 2021PECOS Enrolled
556 CENTRAL AVE, NEW PROVIDENCE, NJ 07974(908) 508-0400 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lorraine Raagas Formanes Dnp, Apn, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LORRAINE RAAGAS FORMANES DNP, APN, CPNP (NPI 1063183036) is an individual pediatrics provider in New Providence, New Jersey, licensed in New Jersey (26NJ01199100) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063183036
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LORRAINE RAAGAS FORMANESCredential: DNP, APN, CPNP
Location Address556 CENTRAL AVENew Providence, NJ 07974-1563
Mailing Address556 Central AveNew Providence, NJ 07974-1563 · (908) 508-0400
Phone(908) 508-0400
Sole ProprietorYes
Enumeration DateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1063183036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 26NJ01199100
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
556 CENTRAL AVE, New Providence, NJ 07974
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lorraine Raagas Formanes Dnp, Apn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lorraine Formanes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Joseph's Healthcare, Inc.
19 mi
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07974 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN MOSKOWITZ MD
Pediatrics
556 CENTRAL AVE
NEW PROVIDENCE, NJ 07974
Union County (908) 508-0400
AVITAL MOSKOWITZ
Nurse Practitioner (Pediatrics)
556 CENTRAL AVE
NEW PROVIDENCE, NJ 07974
Union County (908) 508-0371
DR. KELLY JEAN EBERHARDT MD
Pediatrics
556 CENTRAL AVE
NEW PROVIDENCE, NJ 07974
Union County (908) 508-0400
MS. KATHLEEN LAURA CHIN MD
Pediatrics
556 CENTRAL AVE
NEW PROVIDENCE, NJ 07974
Union County (908) 508-0400
MRS. DENISE NEGRON VISCI MD
Pediatrics
556 CENTRAL AVE
NEW PROVIDENCE, NJ 07974
Union County (908) 508-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorraine Formanes's NPI number?

The NPI number for Lorraine Formanes is 1063183036. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Lorraine Formanes located?

Lorraine Formanes practices at 556 Central Ave, New Providence, NJ 07974. The listed phone number is (908) 508-0400.

What is Lorraine Formanes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lorraine Formanes enrolled in Medicare?

Yes. Lorraine Formanes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lorraine Formanes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorraine Formanes reassigns Medicare benefits to St. Joseph's Healthcare, Inc. (Paterson, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lorraine Formanes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lorraine Formanes was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.