Active NPI
Raif Badr, RN
- Durable Medical Equipment & Medical Supplies
- Selden, NY
National Provider Identifier
1215245295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- NONE
- Practice address
- 17 Adamson St
Selden, NY 11784-4403 - Phone
- (631) 880-7616
- NPI assigned
- Sep 23, 2010
- Last updated
- Sep 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NONE | NY | Primary |
| Community Health Registered Nurse | 163WC1500X | 495751-1 | NY | |
| Diabetes Educator Registered Nurse | 163WD0400X | 495751-1 | NY | |
| Enterostomal Therapy Registered Nurse | 163WE0900X | 495751-1 | NY | |
| General Practice Registered Nurse | 163WG0000X | 495751-1 | NY | |
| Pain Management Registered Nurse | 163WP0000X | 495751-1 | NY | |
| Wound Care Registered Nurse | 163WW0000X | 495751-1 | NY | |
| Orthopedic Registered Nurse | 163WX0800X | 495751-1 | NY |
Addresses
Primary practice location
17 Adamson St
Selden, NY 11784-4403
Mailing address
17 Adamson St
Selden, NY 11784-4403
Phone (631) 880-7616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | NY | MD | Chiropractor |
| 495751-1 | NY | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1215245295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ADAMSON ST",
"city": "SELDEN",
"state": "NY",
"postal_code": "117844403",
"telephone_number": "631-880-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 ADAMSON ST",
"city": "SELDEN",
"state": "NY",
"postal_code": "117844403",
"telephone_number": "631-880-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADR",
"first_name": "RAIF",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "NONE",
"primary": true
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "495751-1",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "495751-1",
"primary": false
},
{
"code": "163WE0900X",
"taxonomy_group": "",
"desc": "Registered Nurse, Enterostomal Therapy",
"state": "NY",
"license": "495751-1",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "495751-1",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "NY",
"license": "495751-1",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NY",
"license": "495751-1",
"primary": false
},
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "NY",
"license": "495751-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.