Individual provider Active NPI

Yakov Raufov, M.D

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1083702559
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
221186 Issued in NY
Practice address
1701 Quentin Rd Ste A7
Brooklyn, NY 11229-1284
Phone
(718) 339-4448
Fax
(718) 339-8159
NPI assigned
Oct 10, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 221186 NY Primary

Addresses

Primary practice location

1701 Quentin Rd Ste A7
Brooklyn, NY 11229-1284

Mailing address

1701Quentin Rd, Suite A7
Brooklyn, NY 11229
Phone (718) 339-4448

Other identifiers 13

IdentifierTypeStateIssuer
113620477OtherNYUNITEDHEALTHCARE
113620477OtherNY1199
169185POtherNYHIP
221186-C79OtherNYHEALTHFIRST
0100709-03OtherNYAMERICHOICE
113620477OtherNYMAGNACARE
72Z991OtherNYBLUECROSS/BLUESHILED
02164987MedicaidNY
3C9947OtherNYHEALTHFIRST
113620477OtherNYEMPIRE
1138866OtherNYCIGNA
2799485OtherNYGHI
P27276OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001286 NY Practitioner - Physical Medicine and Rehabilitation 1557251618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9830 67TH Ave
Suite GG
Rego Park, NY 11374-4944
Phone (718) 896-7777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221186NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakov Raufov Medical PC Specialist CurrentSince Aug 12, 2004 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Past Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Past Accepting new patients

Locations

1701 Quentin Rd
Ste A7
Brooklyn, NY 11229
Phone (718) 339-4448

100 Community Dr
Great Neck, NY 11021
Phone (516) 365-1805

146 Birch Hill Rd
Locust Valley, NY 11560
Phone (516) 723-9305

9830 67th Ave
Ste Gg
Rego Park, NY 11374
Phone (718) 339-4448

1 Expressway Plz
Ste 100
Roslyn Heights, NY 11577
Phone (516) 299-4540

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: yakovraufov@yakovraufov.direct.emds.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083702559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701QUENTIN RD, SUITE A7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-339-4448",
            "fax_number": "718-339-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 QUENTIN RD STE A7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291284",
            "telephone_number": "718-339-4448",
            "fax_number": "718-339-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUFOV",
        "first_name": "YAKOV",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "113620477",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "113620477",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "169185P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "221186-C79",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0100709-03",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "113620477",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHILED",
            "identifier": "72Z991",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02164987",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "3C9947",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "113620477",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1138866",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2799485",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P27276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.