Raza Medical, P.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

219087 Issued in NY

Legal business name

RAZA MEDICAL, P.C

Practice address

1221 Dutch Broadway
Valley Stream, NY 11580-1512

Phone

(516) 887-0833

Fax

(516) 284-6516

NPI assigned

Aug 16, 2006

Last updated

May 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nadeem RazaNPI 1861411522

Title

MD

Phone

(516) 887-0833

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Raza Medical

  • Podiatric Clinic/Center
  • Valley Stream, NY
  • NPI 1255510046
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadeem Raza, MD

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1861411522
  Authorized official Same address or phone

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1154434033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DUTCH BROADWAY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801512",
            "telephone_number": "516-887-0833",
            "fax_number": "718-956-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 DUTCH BROADWAY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801512",
            "telephone_number": "516-887-0833",
            "fax_number": "516-284-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZA MEDICAL, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-887-0833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "219087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.