DAFNA RACHEL WILD (PA) – Physician Assistant, NPI 1174750319
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for DAFNA RACHEL WILD (PA)
100, Pavonia Avenue, Hamilton Park, Jersey City, Hudson County, New Jersey, 07302, United States
SUITE 409
JERSEY CITY, NJ 073102778
Phone: (201) 626-4040
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $720.
Total Amount is formed as General ($720) + Research ($0) + Ownership ($0) = $720.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($152).
Total Amount
$720
General + Research + Ownership
Payments
46
Total payment records
General Amount
$720
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181031001470 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 91 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 100 | 26 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 67 | 40 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 46 | 32 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 35 | 31 | $0 |
Insurance plans in this area (ZIP 07310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Micrographic Dermatologic Surgery (Mds), Dermatology | NY | |
| D E R M A T O L O G Y | NJ | |
| D E R M A T O L O G Y | NY | |
| D E R M A T O L O G Y | NY | |
| Physician Assistant | NJ | |
| D E R M A T O L O G Y | MA | |
| Physician Assistant | NJ | |
| - | NJ | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | NJ |
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