DR. RAPHAEL JAEWON YOO (NPI# 1154559037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154559037 |
| Entity Type | Individual |
| Full Name | DR. RAPHAEL JAEWON YOO |
| Credential | M.D. |
| Practice Address |
1280 Almonesson Rd Deptford NJ 08096-5502 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 8563451401 |
| Practice Fax Number | 8568059370 |
| Mailing Telephone | 3026514200 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
25MA10636200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD445777 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 E Erie Ave, Philadelphia, PA 191341011 | 2154275000 |
| Street Address |
1280 ALMONESSON RD |
| City | DEPTFORD |
| State | NJ |
| Zip Code | 08096-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982740171 | Rima H Himelstein | Pediatrics | 1280 Almonesson Rd, Deptford, NJ 08096-5502 | 2007-01-29 |
| 1669982302 | The Nemours Foundation | Clinic/Center | 1280 Almonesson Rd, Deptford, NJ 08096-5502 | 2017-10-09 |
| 1992245070 | Rebecca Mccammitt | Physical Therapist | 1280 Almonesson Rd, Deptford, NJ 08096-5502 | 2017-03-08 |
| 1437533882 | Amanda Shepherd | Occupational Therapist | 1280 Almonesson Rd, Deptford, NJ 08096-5502 | 2015-07-15 |
| 1124463930 | Hallie Elise Mintz | Speech-Language Pathologist | 1280 Almonesson Rd, Deptford, NJ 08096-5502 | 2013-05-07 |
| 1417184342 | David T Saul | Radiology | 1280 Almonesson Rd, Deptford, NJ 08096 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631215 | K&h Medical-nj LLC | Radiology | 100 Wood Ave S Ste 110, Iselin, NJ 08830-2716 | 2020-05-21 |
| 1528625613 | Mvc Clinical Practice - Nj PC | Radiology | 83 Hanover Rd Ste 260, Florham Park, NJ 07932-1520 | 2019-05-23 |
| 1255899704 | Pulse Vascular, LLC | Radiology | 1051 W Sherman Ave Unit 4, Vineland, NJ 08360-6931 | 2019-03-04 |
| 1881159572 | Onsite Vascular Group Corporation | Radiology | Grosso Office Park, 50 Us Highway 9 North, Suite 102, Morganville, NJ 07751 | 2019-02-06 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1790127736 | Judith Karen Weinstein | Radiology | 713 Haddon Ave, Collingswood, NJ 08108-3711 | 2013-07-18 |
| 1962716480 | Benjamin Lingshaw Yam | Radiology | 38 Oak St Ste 5a, Ridgewood, NJ 07450-3875 | 2010-07-27 |
| 1629226428 | New Jersey Interventional Associates, LLC | Radiology | 1050 Galloping Hill Rd Ste 102, Union, NJ 07083-7980 | 2008-09-04 |
| 1932201613 | Jay H. Schwartz | Radiology | 1750 Zion Rd Ste 106, Northfield, NJ 08225-1844 | 2006-09-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.