Individual provider Active NPI

Lydia Rabinowich, M.D.

  • Neurology Physician
  • Bronx, NY
National Provider Identifier
1003803305
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
140499 Issued in NY
Practice address
1250 Waters PL
Suite 1203
Bronx, NY 10461-2720
Phone
(718) 409-4044
Fax
(718) 792-6515
NPI assigned
Oct 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 140499 NY Primary

Addresses

Primary practice location

1250 Waters PL
Suite 1203
Bronx, NY 10461-2720

Mailing address

1250 Waters PL
Suite 1203
Bronx, NY 10461-2720
Phone (718) 409-4044

Other identifiers 1

IdentifierTypeStateIssuer
01111095MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000586 NY Practitioner - Neurology 7214196591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
140499NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajesh Bhatnagar Physician PC Neurology CurrentSince Mar 8, 2012 Accepting new patients

Locations

1250 Waters Pl
Ste 1203
Bronx, NY 10461
Phone (718) 239-6987

Interoperability endpoints

  • Direct secure messaging: lydia.rabinowich@lydiarabinowichmdpc.ehi.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1003803305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 1203",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-409-4044",
            "fax_number": "718-792-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 1203",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-409-4044",
            "fax_number": "718-792-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOWICH",
        "first_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "140499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01111095",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.