Raveena Medical PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

223596 Issued in NY

Legal business name

RAVEENA MEDICAL PC

Practice address

1575 Hillside Avenue # 103
Suite #103
New Hyde Park, NY 11040-2501

Phone

(516) 352-1804

Fax

(516) 352-1449

NPI assigned

Mar 19, 2007

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teekaram Persaud, MDNPI 1992701270

Title

President

Phone

(718) 806-1434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Teekaram Persaud, MD

  • Pulmonary Disease Physician
  • New Hyde Park, NY
  • NPI 1992701270
  Medicare reassignment Authorized official
• Margarite Soh-Choe

  • Acute Care Nurse Practitioner
  • Forest Hills, NY
  • NPI 1134747769
  Medicare reassignment NPD
• Romelynn Tewarson, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Jackson Heights, NY
  • NPI 1316307457
  Medicare reassignment NPD
• Shashi Patel, MD

  • Pulmonary Disease Physician
  • Far Rockaway, NY
  • NPI 1306868161
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1013031533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 QUEENS BLVD # 1B1C",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741135",
            "telephone_number": "718-806-1434",
            "fax_number": "718-806-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 HILLSIDE AVENUE # 103",
            "address_2": "SUITE #103",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402501",
            "telephone_number": "516-352-1804",
            "fax_number": "516-352-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEENA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "TEEKARAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-806-1434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "223596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02728545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basat Rashid, FNP
• Saima Rashid, M.D.
• Shoaib Rashid, MD
• Ardeshir Rustom Rastinehad, D.O.
• Swathi Ratkal, MBBS
• Saiganesh Ravikumar
• Thanjavur Ravikumar, MD
• Rayco Medical PLLC
• Rayn Healthcare Alliance Ipa, LLC
• Seeme Raza, MD

• Pulmonary Disease Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.