Tina Susanne Rakitt, MD

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

25MA08567000 Issued in NJ

Practice address

279 3Rd Ave
Suite 101
Long Branch, NJ 07740-6211

Phone

(732) 923-6080

Fax

(732) 923-6083

NPI assigned

Jun 12, 2009

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tina.rakitt.1@2983.direct.athenahealth.com
• Direct secure messaging: tinarakitt@mai.allscriptsdirect.net

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.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Summit Medical Group, Inc

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1124255534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "address_2": "DEPT 596",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "866-295-0041",
            "fax_number": "708-342-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 3RD AVE",
            "address_2": "SUITE 101",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077406211",
            "telephone_number": "732-923-6080",
            "fax_number": "732-923-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKITT",
        "first_name": "TINA",
        "middle_name": "SUSANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NJ",
            "license": "25MA08567000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Radwan, MD
• Elise Francesca Raeburn
• Snigdha Raja, MD
• Ahmad Rajaii-Khorasani, MD
• Adhithya Rajamohan, MD
• Krithiha Devi Ramaswamy Raghunaathan, M.D
• Rina Rambod, OTR/L
• Daniela L Rand, CRNA
• Ali Rashidbaigi, M.D.
• Malay Mukeshbhai Rathod, MD

• All providers in Long Branch, NJ
• Pediatric Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.