Edith Marie Ratinov, PA-C MPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

012697 Issued in NY

Practice address

177 Fort Washington Ave
6 Hudson North
New York, NY 10032-3733

Phone

(212) 305-9042

Fax

(212) 305-2168

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Edith Marie Selover Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: eds9037@direct.nyp.org

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1154578136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CABRINI BLVD",
            "address_2": "APT A 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333439",
            "telephone_number": "347-703-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FORT WASHINGTON AVE",
            "address_2": "6 HUDSON NORTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "212-305-9042",
            "fax_number": "212-305-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATINOV",
        "first_name": "EDITH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C MPAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "SELOVER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PA-C MPAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mohit Rathod
• Snigdha Ramesh Rathor, PSY.D.
• Nandini Rathore
• Sukhdev Rathour, M.D.
• Eric Ratinetz, LCSW
• Maegan Danielle Ratliff, RD, CDN, LMT
• Paul Perkins Ratliff, MFT-LP
• Krishna Krupa Ratnam, M.D.
• Adam Ratner, MD
• Blair Ratner, CRNA

• Medical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.