Theodora C Raft, NP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

403307 Issued in NY

Practice address

745 64TH St
Brooklyn, NY 11220-4745

Phone

(187) 490-7351

NPI assigned

Mar 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• MJHS Medical Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013208602
  Medicare reassignment NPD
• Theodora C Raft NP, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • East Setauket, NY
  • NPI 1053063347
  NPD Authorized official
• Christina Stern Nurse Practitioner in Psychiatry P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • East Setauket, NY
  • NPI 1023781499
  NPD (past)

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1083955041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CREST CT",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 64TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204745",
            "telephone_number": "187-490-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Main St",
            "address_purpose": "LOCATION",
            "city": "East Setauket",
            "state": "NY",
            "postal_code": "117332871",
            "country_code": "US",
            "telephone_number": "631-751-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFT",
        "first_name": "THEODORA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306107",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "403307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najma Rafiq, D.D.S.
• Muhammad Hamza Rafique, M.D
• Rida Ayesha Rafique, MD
• Tasfia Rafiuddin
• Widad Aboulos Rafla, DDS
• Chris Raftelis, MD
• Ragab Inc
• Osama Ahmed Ragab, RPH
• Dagnija Ragauskas
• Monica Ragauskas, OTR/L

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.