Active NPI
Grigory Rasin LLC
- Psychiatry Physician
- Union, NJ
National Provider Identifier
1083159495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA04227500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA04227500 | NJ | Primary |
| Psychiatry Physician | 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 DirectoryLocations
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.