DR. RAFFAELLA LINDA KALISHMAN M.D.
NPI 1255610507
Internal Medicine in Pompton Plains, NJ

Q: What is Raffaella Kalishman's NPI number?

The NPI number for Raffaella Kalishman is 1255610507. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Raffaella Kalishman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

1 CEDAR CREST VILLAGE DR, POMPTON PLAINS, NJ 07444(973) 831-3540(973) 831-3503 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2022, Nov 27, 2018, Nov 6, 2018 (3 updates tracked since 2018).

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About Dr. Raffaella Linda Kalishman M.d. NPPES

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

DR. RAFFAELLA LINDA KALISHMAN M.D. (NPI 1255610507) is an individual internal medicine provider in Pompton Plains, New Jersey, licensed in New Jersey (25MA09457600) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Chilton Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255610507

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAFFAELLA LINDA KALISHMANCredential: M.D.

Location Address1 CEDAR CREST VILLAGE DRPompton Plains, NJ 07444-2100

Mailing Address85 Harristown Rd Fl 2Glen Rock, NJ 07452-3329 · (201) 703-5500 · Fax (201) 510-0780

Phone(973) 831-3540

Fax(973) 831-3503

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2009

Enumeration DateAugust 4, 2011

Last NPPES UpdateFebruary 25, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1255610507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA09457600

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 25MA09457600 (NJ)

1 CEDAR CREST VILLAGE DR, Pompton Plains, NJ 07444

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Secondary Practice Locations 2

Location 11 DeGraw AveTeaneck, NJ 07666-4000 · Phone (201) 855-8480 · Fax (201) 836-7838

Location 285 Harristown Rd Ste 104Glen Rock, NJ 07452-3323 · Phone (201) 855-8480

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raffaella Linda Kalishman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395961759

PECOS Enrollment IDI20140722000741

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

107 services71 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services59 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

73 services73 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

42 services39 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07444 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$60.46 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$24.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. LORELANE PAGULAYAN TINDOC M.D.

Family Medicine