Individual provider Active NPI

Raquel Graciela Haynes, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1003954173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001200 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000690 NY Practitioner - Certified Nurse Midwife (CNM) 0840386801 Reassigns benefits to 2 organizations

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
Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

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

LicenseStateTypeSpecialty
F001200NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. CurrentSince Feb 10, 2019 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Apr 1, 2015 Accepting new patients
Sun River Health Inc Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Apr 1, 2015 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

  • Direct secure messaging: raquel.haynes@hrh.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.