Individual provider Active NPI

Rosa Maria Razaboni, M.D., F.A.C.S.

  • Plastic and Reconstructive Surgery Physician
  • New York, NY
National Provider Identifier
1225048853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
163063 Issued in NY
Practice address
14-A East 68TH Street
New York, NY 10021-5847
Phone
(212) 772-0200
Fax
(212) 772-0202
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 163063 NY Primary

Addresses

Primary practice location

14-A East 68TH Street
New York, NY 10021-5847

Mailing address

14-A East 68TH Street
New York, NY 10021-5847
Phone (212) 772-0200

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
I20110721000213 NY Practitioner - Plastic and Reconstructive Surgery 1456529205 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 A E 68TH St
New York, NY 10065-5847

14 E 68TH St
Ofc a
New York, NY 10065-5847
Phone (212) 772-0200

Hospital & facility affiliations

  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy46
Melanoma (skin cancer) excision26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163063NYMDPlastic and Reconstructive Surgery Physician

Interoperability endpoints

  • Direct secure messaging: rrazaboni68043@northwell.direct-ci.com

Hospital & facility affiliations 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225048853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14-A EAST 68TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215847",
            "telephone_number": "212-772-0200",
            "fax_number": "212-772-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-A EAST 68TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215847",
            "telephone_number": "212-772-0200",
            "fax_number": "212-772-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZABONI",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "163063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.