DR. RYAN ADAM RAFFEL MD
NPI 1467984351
Obstetrics & Gynecology in Newark, NJ
About Dr. Ryan Adam Raffel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RYAN ADAM RAFFEL MD (NPI 1467984351) is an individual obstetrics & gynecology provider in Newark, New Jersey, licensed in New Jersey (25MA11049800) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ryan Adam Raffel Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ryan Raffel reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, NJ 07103
- Reassigned Medicare billing, New Jersey enrollment
- 50 clinicians in this Medicare group
Newark, NJ 07105
- Reassigned Medicare billing, New Jersey enrollment
- 172 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ryan Raffel's NPI number?
The NPI number for Ryan Raffel is 1467984351. It was assigned to this individual provider in the NPPES registry on March 30, 2017.
Where is Ryan Raffel located?
Ryan Raffel practices at 166 Lyons Ave Fl 2, Newark, NJ 07112. The listed phone number is (973) 926-4882.
What is Ryan Raffel's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Ryan Raffel enrolled in Medicare?
Yes. Ryan Raffel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ryan Raffel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Raffel reassigns Medicare benefits to 5 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Newark Community Health Centers, Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and Dhp Of New Jersey PA (Edison, NJ). Each 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 Ryan Raffel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Raffel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ryan Raffel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ryan Raffel affiliated with any hospitals?
According to CMS data, Ryan Raffel is affiliated with Newark Beth Israel Medical Center.
When was this NPI record last updated?
The NPPES record for Ryan Raffel was last updated on May 31, 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.
# Dr. Ryan Adam Raffel, MD · NPI 1467984351
Obstetrics & Gynecology physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since March 30, 2017.
## Identity
- **NPI:** 1467984351 (Entity type: Individual)
- **Enumerated:** March 30, 2017
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 25MA11049800 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 166 LYONS AVE FL 2, Newark, NJ 07112-2016
- **Phone:** (973) 926-4882
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Physician Associates Of New Jersey Inc (NPI 1922018514, Newark, NJ); Newark Community Health Centers, Inc (NPI 1366993586, Newark, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ); Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Dhp Of New Jersey PA (NPI 1275896516, Edison, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1467984351) · Data from the CMS NPPES public registry.