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MR. RYAN SCOTT RAFFERTY PA-C
NPI 1710581798
Physician Assistant - Surgical in Haddon Heights, NJ

Active since November 30, 2020PECOS EnrolledAccepts Medicare Assignment
120 WHITE HORSE PIKE STE 103B, HADDON HEIGHTS, NJ 08035(856) 546-3900(856) 546-3908 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, Jul 5, 2022, Nov 30, 2020 (3 updates tracked since 2020).

About Mr. Ryan Scott Rafferty Pa-c NPPES

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

MR. RYAN SCOTT RAFFERTY PA-C (NPI 1710581798) is an individual surgical provider in Haddon Heights, New Jersey, licensed in New Jersey (25MP00602500) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with Virtua Our Lady Of Lourdes Hospital, and is a graduate of Temple University School Of Medicine (2020).

NPPES Registry Identity

NPI1710581798
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. RYAN SCOTT RAFFERTYCredential: PA-C
Location Address120 WHITE HORSE PIKE STE 103BHaddon Heights, NJ 08035-1938
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 546-3900 · Fax (856) 546-3908
Phone(856) 546-3900
Fax(856) 546-3908
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2020
Enumeration DateNovember 30, 2020
Last NPPES UpdateOctober 30, 20243 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1710581798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NJ · 25MP00602500
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA061962 (PA)
120 WHITE HORSE PIKE STE 103B, Haddon Heights, NJ 08035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, 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 and accepts Medicare assignment

Mr. Ryan Scott Rafferty Pa-c 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 ID4789093097
PECOS Enrollment IDI20220827000701
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 2

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

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

DR. LAWRENCE EDWARD GREENAWALD M.D.
Surgery
120 WHITE HORSE PIKE STE 103B
HADDON HEIGHTS, NJ 08035
Camden County (856) 546-3900
DR. JAMAAL H SHABAN D.O.
Surgery
120 WHITE HORSE PIKE STE 103B
HADDON HEIGHTS, NJ 08035
Camden County (856) 546-3900
DR. BRENDAN MCCRACKEN M.D.
Surgery (Surgical Critical Care)
120 WHITE HORSE PIKE STE 103B
HADDON HEIGHTS, NJ 08035
Camden County (856) 546-3900
MRS. MELISSA ANNE PRYZBYLKOWSKI PA-C
Physician Assistant (Medical)
120 WHITE HORSE PIKE STE 103B
HADDON HEIGHTS, NJ 08035
Camden County (856) 546-3900

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 Rafferty's NPI number?

The NPI number for Ryan Rafferty is 1710581798. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Ryan Rafferty located?

Ryan Rafferty practices at 120 White Horse Pike Ste 103B, Haddon Heights, NJ 08035. The listed phone number is (856) 546-3900.

What is Ryan Rafferty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ryan Rafferty enrolled in Medicare?

Yes. Ryan Rafferty 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.

What insurance does Ryan Rafferty accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ryan Rafferty 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 Rafferty affiliated with any hospitals?

According to CMS data, Ryan Rafferty is affiliated with Virtua Our Lady Of Lourdes Hospital and Jefferson Stratford Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Rafferty was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.