Organization Active NPI

Shaya Raykher MD PC

  • Primary Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1174787675
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
211342 Issued in NY
Legal business name
SHAYA RAYKHER MD PC
Practice address
1400 Ave Z
Suite 202
Brooklyn, NY 11235-3837
Phone
(718) 421-9070
Fax
(718) 421-9073
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Dr. Shaya Raykher, M.D.
Title
President
Phone
(718) 421-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 211342 NY Primary

Addresses

Primary practice location

1400 Ave Z
Suite 202
Brooklyn, NY 11235-3837

Mailing address

1400 Ave Z
Suite 202
Brooklyn, NY 11235-3837
Phone (718) 421-9070

Other identifiers 1

IdentifierTypeStateIssuer
01880024MedicaidNY

National Provider Directory

National Provider Directory

Locations

7616 Bay Pkwy
Ste Mi
Brooklyn, NY 11214
Phone (718) 837-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1174787675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AVE Z",
            "address_2": "SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353837",
            "telephone_number": "718-421-9070",
            "fax_number": "718-421-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 AVE Z",
            "address_2": "SUITE 202",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353837",
            "telephone_number": "718-421-9070",
            "fax_number": "718-421-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYA RAYKHER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "RAYKHER",
        "authorized_official_first_name": "SHAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-421-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "211342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.