Individual provider Active NPI

Rafik Raymond Moufid, M.D.

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1184887101
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
246304-1 Issued in NY
Practice address
1915 Ocean Ave
1St Floor
Brooklyn, NY 11230-6801
Phone
(718) 727-1300
Fax
(516) 482-8221
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 246304-1 NY Primary

Addresses

Primary practice location

1915 Ocean Ave
1St Floor
Brooklyn, NY 11230-6801

Mailing address

600 Northern Blvd
Suite 115
Great Neck, NY 11021-5206
Phone (516) 482-8220

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
I20090226000077 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 2264598325 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

Practice addresses (Care Compare)

1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727

Hospital & facility affiliations

  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246304NYMDLicensed Practical Nurse
246304-1NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Health Shared Physicians, PLLC CurrentSince Jun 19, 2021 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Thomas Panetta MD Vascular Surgery PLLC Vascular Surgery CurrentSince Oct 1, 2008 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Aug 1, 2015 Accepting new patients
PPG Anesthesia, PLLC Past Accepting new patients

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

250 Pettit Ave
Ste 2
Bellmore, NY 11710
Phone (516) 387-7463

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

73 Belmont Ave
Brooklyn, NY 11212
Phone (718) 395-6401

79 Belmont Ave
Brooklyn, NY 11212
Phone (718) 395-6401

1915 Ocean Ave
Ste 1
Brooklyn, NY 11230
Phone (718) 377-7629

76 Belmont Ave
Brooklyn, NY 11212
Phone (347) 754-6012

979 Fulton St
Brooklyn, NY 11238
Phone (718) 857-1200

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

600 Northern Blvd
Ste 115
Great Neck, NY 11021
Phone (516) 466-6760

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: rmoufid@prine.curemd.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1184887101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "address_2": "SUITE 115",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215206",
            "telephone_number": "516-482-8220",
            "fax_number": "516-482-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 OCEAN AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306801",
            "telephone_number": "718-727-1300",
            "fax_number": "516-482-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUFID",
        "first_name": "RAFIK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "246304-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.