Active NPI
Rafael E Caban Rivera
- Emergency Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 283622
- Practice address
- 1400 Pelham Pkwy S
Building 6//Suite B125
Bronx, NY 10461-1138 - Phone
- (718) 918-5000
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 283622 | NY | Primary |
Addresses
Primary practice location
1400 Pelham Pkwy S
Building 6//Suite B125
Bronx, NY 10461-1138
Mailing address
328 E 94TH St
Apt 1a
New York, NY 10128-5662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283622 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamestown Area Medical Associates, L.L.P. | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Corning Hospital | Emergency Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Emergency Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
| Yadkin Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Family Medicine | Current | Accepting new patients |
| Robeson Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Great Lakes Physician Practice PC | Emergency Medicine | Current | Accepting new patients |
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| Montefiore Medical Center | Emergency Medicine | Current | Accepting new patients |
| Corning Hospital | Current | Accepting new patients |
Locations
350 E Devon Ave
Itasca, IL 60143
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000
300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000
111 E 210th St
Bronx, NY 10467
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- rcabanrivera172704@direct-guthrie.org
- rcabanri@montefioredirect.com
Organizations & group practices 13
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.
-
- Emergency Medicine Physician
- Poughkeepsie, NY
- NPI 1093759847
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
Emergency Medicine
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1801375373
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Emergency Medicine, TX
-
- Emergency Medicine Physician
- Elkin, NC
- NPI 1417443771
-
- Community/Retail Pharmacy
- Corning, NY
- NPI 1962010694
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Family Medicine Physician
- Cameron, AZ
- NPI 1134382211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1093060949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 E 94TH ST",
"address_2": "APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PELHAM PKWY S",
"address_2": "BUILDING 6//SUITE B125",
"city": "BRONX",
"state": "NY",
"postal_code": "104611138",
"telephone_number": "718-918-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABAN RIVERA",
"first_name": "RAFAEL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "283622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.