Raphael Novogrodsky MD PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

RAPHAEL NOVOGRODSKY MD PC

Practice address

1250 Waters PL
Suite 1207
Bronx, NY 10461

Phone

(718) 684-4482

Fax

(718) 918-9778

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Raphael Novogrodsky, M.D.NPI 1134161201

Title

Owner

Phone

(201) 638-3640

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RAPHAEL NOVOGRODSKY MD PC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raphael Novogrodsky, M.D.

  • Urology Physician
  • Bronx, NY
  • NPI 1134161201
  NPD (past) Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1245916014",
    "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": "07666",
            "telephone_number": "718-684-4482",
            "fax_number": "718-918-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 1207",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-684-4482",
            "fax_number": "718-918-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL NOVOGRODSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "NOVOGRODSKY",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-638-3640",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01497323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAPHAEL NOVOGRODSKY MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Rapid Medicine, PLLC
• Rapid Mobile Phlebotomy LLC

• Non-Pharmacy Dispensing Site in Bronx, NY
• Providers in Bronx, NY by specialty
• Non-Pharmacy Dispensing Site in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.