Raphael Novogrodsky MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

181941 1 Issued in NY

Legal business name

RAPHAEL NOVOGRODSKY MD PC

Practice address

1250 Waters PL
Bronx, NY 10461-2720

Phone

(718) 684-4482

NPI assigned

Feb 21, 2007

Last updated

Mar 24, 2014By 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. Raphael Novogrodsky

Title

MD

Phone

(914) 963-8112

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1194860387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RUTLAND AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "718-684-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL NOVOGRODSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "NOVOGRODSKY",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "914-963-8112",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "181941 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sudha Rao, M.D
• Vignesh Rao, BPT
• Janan Raouf, CRPA
• Sherief Raouf, M.D.
• Roberto Manuel Rapalo, PT, DPT
• Raphael Novogrodsky MD PC
• Myrlande Raphael
• Ryan Raphael
• Rapid EMS LLC (Citywide Mobile Response)
• Rapid Medicine, PLLC

• Urology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.