Organization Active NPI

Julia Raber, M.D., P.C.

  • Specialist
  • New Hyde Park, NY
National Provider Identifier
1063631950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
208379 Issued in NY
Legal business name
JULIA RABER, M.D., P.C.
Doing business as
Julia Raber, M.D., P.C.
Practice address
2500 Marcus Ave
New Hyde Park, NY 11042-1018
Phone
(516) 358-1200
NPI assigned
Apr 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julia Raber, MD
Title
Owner
Phone
(516) 409-6462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 208379 NY Primary

Addresses

Primary practice location

2500 Marcus Ave
New Hyde Park, NY 11042-1018

Mailing address

2673 Rachel St
Bellmore, NY 11710-5413
Phone (516) 409-6462

Other identifiers 1

IdentifierTypeStateIssuer
1255305538OtherNPI

Other names 1

  • Julia Raber, M.D., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1300 Union Tpke
Ste 107
New Hyde Park, NY 11040
Phone (516) 216-5550

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063631950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 RACHEL ST",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105413",
            "telephone_number": "516-409-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421018",
            "telephone_number": "516-358-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA RABER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RABER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-409-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "208379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255305538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julia Raber, M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.