DR. RAVEN DEVINCENZO M.D. NPI 1104844117

NPI Information

  • NPI: 1104844117
  • Provider Name: DR. RAVEN DEVINCENZO, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 475 SEAVIEW AVE
    STATEN ISLAND, NY
    ZIP 10305
  • Phone: (718) 226-9175

Map and Directions

Get Directions

NPI Details

DR. Raven Devincenzo, M.D. is a diagnostic radiology radiology in Staten Island, NY with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Raven Devincenzo, M.D. NPI is 1104844117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

475 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305-436
Phone: (718) 226-9175
Fax: (718) 226-8198

The NPI 1104844117 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology217324NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1666T31MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE PROVIDER ID
2H88544MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.