Active NPI
Raul Jose Masakayan, M.D.
- Anesthesiology Physician
- Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 211412
- Practice address
- 32 Setalcott PL
Setauket, NY 11733-1326 - Phone
- (631) 246-9276
- NPI assigned
- Nov 10, 2005
- Last updated
- Nov 11, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 211412 | NY | Primary |
Addresses
Primary practice location
32 Setalcott PL
Setauket, NY 11733-1326
Mailing address
32 Setalcott PL
Setauket, NY 11733-1326
Phone (631) 848-3155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9C3011 | Other | NY | EMPIRE BLUECROSS BLUESHIE |
| 01883696 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Montauk Hwy
Suite 3
West Islip, NY 11795-4910
Phone (631) 669-1171
153 N Ocean Ave
Patchogue, NY 11772-2018
Phone (631) 714-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King-Chen Hon Office Based Endoscopy PLLC | Current | Accepting new patients | |
| Northeast Endoscopy LLC | Anesthesiology | Current | Accepting new patients |
| Island Gastroenterology Consultants PC | Specialist | Current | Accepting new patients |
| New Day Medical PC | Anesthesiology | Current | Accepting new patients |
| East Coast Gastroenterology and Endoscopy PC | Current | Accepting new patients | |
| Queens Boulevard ASC LLC | Current | Accepting new patients | |
| Ae&Ly Ambulatory Endoscopy PLLC | Current | Accepting new patients | |
| Goldstep Ambulatory Surgery Center, LLC | Anesthesiology | Current | Accepting new patients |
| Gold Coast Medical P C | Anesthesiology | Current | Accepting new patients |
| Robert Bernholc MD PC | Anesthesiology | Past | Accepting new patients |
Locations
200 Broadway
Ste 3116
Brooklyn, NY 11211
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
35 Spencer St
Ste 200
Brooklyn, NY 11205
13511 40th Rd
Ste 3A
Flushing, NY 11354
Phone (646) 417-0641
13602 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-3212
13633 37th Ave
#7
Flushing, NY 11354
13633 37th Ave
Fl 7
Flushing, NY 11354
Phone (718) 321-3262
4161 Kissena Blvd
Ste D
Flushing, NY 11355
Phone (718) 359-2827
1880 E Jericho Tpke
Huntington, NY 11743
Phone (631) 629-4628
40 E 10th St
Ste 1W
New York, NY 10003
Phone (212) 344-9524
153 N Ocean Ave
Patchogue, NY 11772
Phone (631) 714-4444
9525 Queens Blvd
Rego Park, NY 11374
Phone (718) 286-1000
9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000
235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200
237 Jericho Tpke
Syosset, NY 11791
Phone (516) 584-6400
1111 Montauk Hwy
#3
West Islip, NY 11795
Phone (631) 669-1171
1111 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 669-1171
1175 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 433-1159
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Patchogue, NY
- NPI 1518459569
-
- Specialist
- West Islip, NY
- NPI 1174556963
-
- Anesthesiology Physician
- Syosset, NY
- NPI 1962752527
-
- Ambulatory Surgical Clinic/Center
- Brooklyn, NY
- NPI 1689059222
Anesthesiology
-
- Endoscopy Clinic/Center
- Flushing, NY
- NPI 1043446867
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1396131272
-
- Ambulatory Surgical Clinic/Center
- East Setauket, NY
- NPI 1043845340
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Rego Park, NY
- NPI 1558612762
-
dba New Hyde Park Endoscopy
- Ambulatory Surgical Clinic/Center
- New Hyde Park, NY
- NPI 1134665193
-
- Anesthesiology Physician
- Setauket, NY
- NPI 1407009095
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1609019819
-
- Anesthesiology Physician
- Setauket, NY
- NPI 1972640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1194706614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 SETALCOTT PL",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117331326",
"telephone_number": "631-848-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 SETALCOTT PL",
"city": "SETAUKET",
"state": "NY",
"postal_code": "117331326",
"telephone_number": "631-246-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASAKAYAN",
"first_name": "RAUL",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "211412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUECROSS BLUESHIE",
"identifier": "9C3011",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01883696",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.