Organization Active NPI

Grigory Rasin LLC

  • Psychiatry Physician
  • Union, NJ
National Provider Identifier
1083159495
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA04227500 Issued in NJ
Legal business name
GRIGORY RASIN LLC
Practice address
2143 Morris Ave Ste 108
Union, NJ 07083-6021
Phone
(908) 686-4145
Fax
(908) 851-2128
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Grigory S. Rasin, M.D.
Title
Owner
Phone
(908) 686-4145

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 25MA04227500 NJ Primary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 25MA06556300 NJ

Addresses

Primary practice location

2143 Morris Ave Ste 108
Union, NJ 07083-6021

Mailing address

2143 Morris Ave Ste 108
Union, NJ 07083-6021
Phone (908) 686-4145

National Provider Directory

National Provider Directory

Locations

2143 Morris Ave
Ste 108
Union, NJ 07083
Phone (908) 686-4145

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1083159495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE STE 108",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836021",
            "telephone_number": "908-686-4145",
            "fax_number": "908-851-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 MORRIS AVE STE 108",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070836021",
            "telephone_number": "908-686-4145",
            "fax_number": "908-851-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIGORY RASIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "RASIN",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-686-4145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04227500",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06556300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.