DR. LESLIE RAYBOULD MD
NPI 1639759301
Pediatrics in Cherry Hill, NJ

Q: What is Leslie Raybould's NPI number?

The NPI number for Leslie Raybould is 1639759301. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Leslie Raybould's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leslie Raybould was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 08, 2021PECOS Enrolled

710 KRESSON RD, CHERRY HILL, NJ 08003(856) 795-3320(856) 795-1213 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Apr 8, 2021 (2 updates tracked since 2021).

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About Dr. Leslie Raybould Md NPPES

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

DR. LESLIE RAYBOULD MD (NPI 1639759301) is an individual pediatrics provider in Cherry Hill, New Jersey, licensed in New Jersey (25MA12331200) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sicklerville.

NPPES Registry Identity

NPI1639759301

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LESLIE RAYBOULDCredential: MD

Location Address710 KRESSON RDCherry Hill, NJ 08003-2604

Mailing Address710 Kresson RdCherry Hill, NJ 08003-2604 · (856) 795-3320 · Fax (856) 795-1213

Phone(856) 795-3320

Fax(856) 795-1213

Sole ProprietorYes

Enumeration DateApril 8, 2021

Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1639759301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA12331200

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.

710 KRESSON RD, Cherry Hill, NJ 08003

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Secondary Practice Location 1

Location 1431 Sicklerville RdSicklerville, NJ 08081-2555 · Phone (856) 875-7444 · Fax (856) 875-4042

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. Leslie Raybould Md 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 08003 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

DR. CYRUS MOHAZZEBI MD

Pediatrics