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DR. RYAN ADAM RAFFEL MD
NPI 1467984351
Obstetrics & Gynecology in Newark, NJ

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
166 LYONS AVE FL 2, NEWARK, NJ 07112(973) 926-4882 Get Directions Write a Review

NPPES record last updated: May 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2021, Mar 30, 2017 (2 updates tracked since 2017).

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

NPI1467984351
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RYAN ADAM RAFFELCredential: MD
Location Address166 LYONS AVE FL 2Newark, NJ 07112-2016
Mailing Address2 Center St Apt 1209Newark, NJ 07102-4567 · (862) 200-4804
Phone(973) 926-4882
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 30, 2017
Last NPPES UpdateMay 31, 20212 updates tracked since enumeration
NPPES CertifiedMay 31, 2021
✔ NPI 1467984351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA11049800
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
166 LYONS AVE FL 2, Newark, NJ 07112
Open in Google Maps ↗

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. 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.

PECOS PAC ID42557456
PECOS Enrollment IDI20210729002756
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.

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, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician 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.

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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES

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

MADHU SURYADEVARA M.D.
Internal Medicine (Infectious Disease)
166 LYONS AVE FL 2
NEWARK, NJ 07112
Essex County (732) 937-8939

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.

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.