Individual provider Active NPI

Natasha Hasan Raziuddin, RPA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1053631036
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004752 Issued in MD
Practice address
100 E 77TH St
New York, NY 10075-1850
Phone
(212) 434-2000
Fax
(212) 434-2082
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 013958-1 NY
Physician Assistant 363A00000X C0004752 MD Primary

Addresses

Primary practice location

100 E 77TH St
New York, NY 10075-1850

Mailing address

1040 Deer Ridge Dr
Apartment 309
Baltimore, MD 21210-2558
Phone (201) 317-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130731000349 MD Practitioner - Physician Assistant 4385816420 Reassigns benefits to 4 organizations
I20130802000572 DC Practitioner - Physician Assistant 4385816420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004752MDMDPhysician Assistant
013958-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jan 1, 2022 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Aug 1, 2013 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2024 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Aug 1, 2013 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Aug 1, 2013 Accepting new patients
Johns Hopkins University CurrentSince Jan 1, 2022 Accepting new patients
Jersey Emergency Medical Associates LLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

4940 Eastern Ave
Baltimore, MD 21224

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: natasha.raziuddin@166622370791428.direct.elationemr.com
  • Direct secure messaging: nraziuddin397497@direct.hopkinsmedicine.org

Organizations & group practices 12

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1053631036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DEER RIDGE DR",
            "address_2": "APARTMENT 309",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102558",
            "telephone_number": "201-317-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751850",
            "telephone_number": "212-434-2000",
            "fax_number": "212-434-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZIUDDIN",
        "first_name": "NATASHA",
        "middle_name": "HASAN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013958-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.