Individual provider Active NPI

Neil Charles Raff

  • Internal Medicine Physician
  • Mt Kisco, NY
National Provider Identifier
1134328818
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0905201 Issued in NY
Practice address
213 Main St
Mt Kisco, NY 10549
Phone
(914) 241-7030
Fax
(914) 241-7038
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0905201 NY Primary

Addresses

Primary practice location

213 Main St
Mt Kisco, NY 10549

Mailing address

16040 78TH Rd
Fresh Meadows, NY 11366-1945
Phone (914) 241-7030

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123000168 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5294988457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
090520NYMDClinical Social Worker
0905201NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1134328818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661945",
            "telephone_number": "914-241-7030",
            "fax_number": "914-241-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-241-7030",
            "fax_number": "914-241-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFF",
        "first_name": "NEIL",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "0905201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Kisco, NY

Sources for this page

Verify at the official NPI Registry.