Dr. Raphael Chaim Jesin, M.D.
Internal Medicine in Staten Island, NY. Individual provider (NPI-1).
NPI number1154677243
StatusActive
Last updated in NPPESAug 17, 2015
Details
- NPI
- 1154677243
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raphael Chaim Jesin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2012
- Last updated
- Aug 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HOSPITALIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 280237 | NY | Yes |
Practice location
475 Seaview AveStaten Island, NY 10305-3436
Phone 718-226-8033
Mailing address
475 Seaview AveStaten Island, NY 10305-3436
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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