Active NPI
Raquel Graciela Haynes, CNM
- Midwife
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F001200
- Practice address
- 1 Brookdale Plaza Brookdale University Hospital
OBGYN Midwifery Service RM 4C30
Brooklyn, NY 11212 - Phone
- (718) 240-6278
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | F001200 | NY | Primary |
Addresses
Primary practice location
1 Brookdale Plaza Brookdale University Hospital
OBGYN Midwifery Service RM 4C30
Brooklyn, NY 11212
Mailing address
860 James PL
Uniondale, NY 11553-2936
Phone (516) 567-2096
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F001200 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc. | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Birthing Medical Group | Midwife | Past | Accepting new patients |
| TJH Medical Services, P.C. | Past | Accepting new patients | |
| Brookdale Family Care Center, Inc. | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
2412 Church Ave
Fl 1
Brooklyn, NY 11226
2412 Church Ave
Brooklyn, NY 11226
Phone (347) 404-5950
1 Brookdale Plz
Rm 4C30
Brooklyn, NY 11212
Phone (718) 240-5977
803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
Networks
- Healthfirst Medicare Network H3359
Interoperability endpoints
- raquel.haynes@hrh.eclinicaldirectplus.com
- raquel.haynes.1@7449.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- Midwife
- Brooklyn, NY
- NPI 1912244351
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1962459644
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1184670465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003954173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 JAMES PL",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115532936",
"telephone_number": "516-567-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLAZA BROOKDALE UNIVERSITY HOSPITAL",
"address_2": "OBGYN MIDWIFERY SERVICE RM 4C30",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11212",
"telephone_number": "718-240-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "RAQUEL",
"middle_name": "GRACIELA",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F001200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.