Provider Demographics
NPI:1427880004
Name:ARIE RAVE, MD, PA
Entity type:Organization
Organization Name:ARIE RAVE, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-689-1900
Mailing Address - Street 1:1250 E RIDGEWOOD AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3930
Mailing Address - Country:US
Mailing Address - Phone:201-689-1900
Mailing Address - Fax:201-447-9011
Practice Address - Street 1:1250 E RIDGEWOOD AVE STE 15
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3930
Practice Address - Country:US
Practice Address - Phone:201-689-1900
Practice Address - Fax:201-447-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty