Raffi Barsoumian MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

240858 Issued in NY

Legal business name

RAFFI BARSOUMIAN MD

Practice address

20 Devine Ave
Syosset, NY 11791-3721

Phone

(516) 287-1120

Fax

(516) 794-9568

NPI assigned

Aug 10, 2009

Organization subpart

No

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

Authorized official

Name

Patty Restivo

Title

Billing Manager

Phone

(516) 794-4161

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Raffi Barsoumian, M.D.

  • Surgery Physician
  • River Vale, NJ
  • NPI 1932277134
  NPD (past)

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1013149038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DEVINE AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913721",
            "telephone_number": "516-287-1120",
            "fax_number": "516-794-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DEVINE AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913721",
            "telephone_number": "516-287-1120",
            "fax_number": "516-794-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI BARSOUMIAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "RESTIVO",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-794-4161"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "240858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02935702",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Qin-Jiang
• Erick Quezada Calle
• Angelique Lynn Quinones
• Naveera Saleha Qureshi, PA-C
• Radiological Diagnostic Imaging, P.C. (Long Island Diagnostic Imaging,P.C.)
• Sobia Rafiuddin, DDS
• Anu Raj, PH.D.
• Albert Raminfard, DO
• Gail Rance, SLP
• Randolph P Dilorenzo MD PC

• Surgery Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.