Raven Devincenzo, M.D.
NPI 1104844117ActiveIndividual· Radiology, Diagnostic Radiology· Staten Island, NY
Radiology, Diagnostic Radiology (M.D.) in Staten Island, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 1998). Medicare paid $505,001 for services to 2,209 patients in 2024.
Overview
| NPI | 1104844117 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 17, 2006 |
| Last updated in NPPES | Jul 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 217324 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (NJ); Practitioner - Diagnostic Radiology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 2,209 |
|---|---|
| Services billed | 28,341 across 108 procedure codes |
| Paid by Medicare | $505,001 |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Empire State Radiology P CPort Jervis, NY · 268 clinicians
- Coastal Imaging LLCManahawkin, NJ · 68 clinicians
- Holmdel Imaging LLCHolmdel, NJ · 4 clinicians
- Red Bank Radiologists, PALittle Silver, NJ · 3 clinicians
Hospital affiliations
- Riverview Medical CenterRed Bank, NJ
- St John's Riverside HospitalYonkers, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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