Individual provider Active NPI

Roberto Rauda

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1124087127
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001241-1 Issued in NY
Practice address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone
(718) 240-6278
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001241-1 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ
Brooklyn, NY 11212-3139

Mailing address

8801 Rutledge Ave
Glendale, NY 11385-7933
Phone (718) 791-4647

Other names 1

  • Mr. Roberto Rauda Other name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080306000435 NY Practitioner - Certified Nurse Midwife (CNM) 2163507765 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Medical Services of New York PCGroup PAC ID 0547413916, 3 clinicians

Practice addresses (Care Compare)

94 13 Flatlands Ave
Suite 206E
Brooklyn, NY 11236-3718
Phone (718) 485-2420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001241NYMDMarriage & Family Therapist
F001241-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Brookdale Family Care Center, Inc. CurrentSince Mar 9, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Mar 9, 2018 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc CurrentSince Mar 9, 2018 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Mar 9, 2018 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Feb 15, 2022 Accepting new patients
Womens Medical Services of New York PC CurrentSince Nov 25, 2019 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Mar 9, 2018 Accepting new patients
Womens Medical Services PC Past Accepting new patients

Locations

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1095 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 240-5132

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

8212 151st Ave
Jamaica, NY 11414
Phone (718) 843-6300

Networks

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1124087127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 RUTLEDGE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857933",
            "telephone_number": "718-791-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUDA",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001241-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "RAUDA",
            "prefix": "MR.",
            "credential": "CERTIFIED MIDWIFE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.