Provider Demographics
NPI:1508965344
Name:CIFALDI, RALPH JOHN JR (DO)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:JOHN
Last Name:CIFALDI
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:484 LAFAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-2522
Mailing Address - Country:US
Mailing Address - Phone:973-423-4770
Mailing Address - Fax:973-423-4816
Practice Address - Street 1:484 LAFAYETTE AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-2522
Practice Address - Country:US
Practice Address - Phone:973-423-4770
Practice Address - Fax:973-423-4816
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB059663207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ38580OtherUNIVERSITY HEALTH PLANS
NJ3241588OtherAETNA
NJ60030372OtherNJ HEALTH
NJP372703OtherOXFORD
NJ0003999Medicaid
NJ1790731271OtherGROUP NPI
NJ115721OtherAMERIGROUP
F60622Medicare UPIN
NJ38580OtherUNIVERSITY HEALTH PLANS