Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy James Rafael, MD

Individual provider Maternal & Fetal Medicine Physician · NPI 1508022153

Dr. Timothy James Rafael, MD is an Obstetrics/Gynecology in Mineola, New York. Graduated from State University of New York at Buffalo School of Medicine in 2004, 22 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
PA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 Mineola Blvd Ste 100
Mineola, NY 11501-4064
Phone: (516) 663-3010
Fax: (516) 663-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence MT192169 (PA)

Record details

NPI number1508022153
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 4, 2008
Last updated in NPPESAugust 9, 2011
Mailing address120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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