Raymond Charles Swift III, LPN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

307530 Issued in NY

Practice address

127 Syracuse Ave
Medford, NY 11763-3626

Phone

(631) 949-4790

NPI assigned

May 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1093075442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SYRACUSE AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633626",
            "telephone_number": "631-949-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 SYRACUSE AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633626",
            "telephone_number": "631-949-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "RAYMOND",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-19",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "307530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supersmiles KDS Dental PC (Supersmiles KDS IV)
• Loriann Surdow, R.N.
• SVC of Coram LLC (Sound Vision Care)
• Arvenia Swan, RN
• Marie Swiderski, LCSW
• Lauren Swinton
• Maria Szczygiel
• Vanessa Taboada
• Edmund Tam, RPH
• Hajar Taman

• Home Health Agency in Medford, NY
• Providers in Medford, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.