Refua Shlema Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60 245643 Issued in NY

Legal business name

REFUA SHLEMA MEDICAL PC

Practice address

499 Crown St
Brooklyn, NY 11213-5126

Phone

(347) 614-1717

NPI assigned

Jan 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rafael I Ilyayev, MDNPI 1730373192

Title

Dr

Phone

(347) 614-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael Il'Ich Ilyayev, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1730373192
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1003093519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135126",
            "telephone_number": "347-614-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135126",
            "telephone_number": "347-614-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUA SHLEMA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "ILYAYEV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "347-614-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60 245643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02909539",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luva M Reeves, MSN, FNP-BC
• Reflections Beyond LLC
• Refresh Physical Therapy PLLC
• Refresh Psychotherapy, LCSW, PLLC
• Refreshing Therapy of Nyc Inc
• Refuah Diagnostics LLC
• Refuah Family Dental P.C
• Refuah Inc
• Refuah Physical Therapy, PC
• Regal Cdpap, Inc.

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.