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DR. RAPHAEL PAISNER M.D., F.A.A.P.
NPI 1619041977
Pediatrics in Montclair, NJ

Active since November 20, 2006PECOS Enrolled
73 PARK ST, MONTCLAIR, NJ 07042(973) 746-7375(973) 746-6772 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Raphael Paisner M.d., F.a.a.p. NPPES

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

DR. RAPHAEL PAISNER M.D., F.A.A.P. (NPI 1619041977) is an individual pediatrics provider in Montclair, New Jersey, licensed in New Jersey (25MA04799500) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619041977
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RAPHAEL PAISNERCredential: M.D., F.A.A.P.
Location Address73 PARK STMontclair, NJ 07042-2903
Mailing AddressLb# 7550 Po Box 95000Philadelphia, PA 19195-7550 · (844) 362-1735 · Fax (973) 290-7495
Phone(973) 746-7375
Fax(973) 746-6772
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateDecember 12, 2017
✔ NPI 1619041977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA04799500
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.
73 PARK ST, Montclair, NJ 07042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raphael Paisner M.d., F.a.a.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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 11

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

MONTCLAIR PEDIATRICS
Pediatrics (Adolescent Medicine)
73 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 746-7375
PRIMARY CARE PARTNERS, LLC
Pediatrics
73 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 746-7375
COURAGE IN TIME COUNSELING, LLC
Social Worker (Clinical)
73 PARK ST
MONTCLAIR, NJ 07042
Essex County (908) 268-0074
DR. REDDY B ALLAM MD
Internal Medicine
73 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 746-0595
JILLIAN DEGROOT
Social Worker (Clinical)
73 PARK ST
MONTCLAIR, NJ 07042
Essex County (908) 268-0074
AIM HEALTHCARE LLC
Internal Medicine
73 PARK ST
MONTCLAIR, NJ 07042
Essex County (973) 746-0595
BHARAT REDDY ALLAM D.O.
Internal Medicine
73 PARK ST, FL 3
MONTCLAIR, NJ 07042
Essex County (973) 746-0595
NAVEEN REDDY ALLAM M.D.
Internal Medicine
73 PARK ST, 3RD FLOOR
MONTCLAIR, NJ 07042
Essex County (973) 746-0595

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 Raphael Paisner's NPI number?

The NPI number for Raphael Paisner is 1619041977. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Raphael Paisner located?

Raphael Paisner practices at 73 Park St, Montclair, NJ 07042. The listed phone number is (973) 746-7375.

What is Raphael Paisner's specialty?

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

Is Raphael Paisner enrolled in Medicare?

Yes. Raphael Paisner is registered in the Medicare PECOS enrollment system.

What insurance does Raphael Paisner accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Raphael Paisner 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.

When was this NPI record last updated?

The NPPES record for Raphael Paisner was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.