Active NPI
Sophia Rakin, PA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006971
- Practice address
- 2 Gold St
New York, NY 10038-4821 - Phone
- (589) 394-8938
- NPI assigned
- Dec 9, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110006971 | VA | Primary |
Addresses
Primary practice location
2 Gold St
New York, NY 10038-4821
Mailing address
2 Gold St
New York, NY 10038-4821
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 Front St
New York, NY 10038-2033
Phone (212) 385-3700
247 E 28TH St
New York, NY 10016-8508
Phone (212) 385-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006971 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobby Buka, M.D., P.C. | Current | Accepting new patients | |
| Out East Medical | Past | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients | |
| Derm Specs of PA PLLC | Past | Accepting new patients | |
| Atlas Infectious Disease Practice PLLC | Past | Accepting new patients |
Locations
3179 Steinway St
Astoria, NY 11103
1163 Myrtle Ave
Brooklyn, NY 11206
1027 46th Ave
Fl 1
Long Island City, NY 11101
1425 2nd Ave
New York, NY 10021
214 Sullivan St
New York, NY 10012
625 10th Ave
New York, NY 10036
2121 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (718) 534-8190
3531 Long Beach Rd
Oceanside, NY 11572
Interoperability endpoints
- https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
- sophia.rakin.1@24989.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/BFCDAA
Organizations & group practices 5
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.
-
- Dermatology Physician
- New York, NY
- NPI 1134349954
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- Dermatology Physician
- Oceanside, NY
- NPI 1730757311
-
- Infectious Disease Physician
- Atlantis, FL
- NPI 1326655846
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1528823507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578096000000",
"number": "1134766181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GOLD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GOLD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384821",
"telephone_number": "589-394-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKIN",
"first_name": "SOPHIA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-09",
"last_updated": "2020-01-04",
"certification_date": "2020-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.