Active NPI
Raza Medical
- Podiatric Clinic/Center
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- License
- 245735-1
- Legal business name
- RAZA MEDICAL
- Practice address
- 1221 Dutch Broadway
Valley Stream, NY 11580-1512 - Phone
- (516) 887-0833
- NPI assigned
- Oct 29, 2007
- Last updated
- Oct 29, 2007
- Organization subpart
- Yes
- Parent organization
- RAZA MEDICAL.P.C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Uzma Iqbal, 1/29/1975
- Title
- MD
- Phone
- (516) 887-0833
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | 245735-1 | NY | Primary |
Addresses
Primary practice location
1221 Dutch Broadway
Valley Stream, NY 11580-1512
Mailing address
1221 Dutch Broadway
Valley Stream, NY 11580-1512
Phone (516) 887-0833
National Provider Directory
National Provider Directory- Part of
- Raza Medical PC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Primary Care Clinic/Center
- Valley Stream, NY
- NPI 1154434033
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Adolescent Medicine Physician
- Valley Stream, NY
- NPI 1477739753
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1861411522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1255510046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 DUTCH BROADWAY",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801512",
"telephone_number": "516-887-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 DUTCH BROADWAY",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801512",
"telephone_number": "516-887-0833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAZA MEDICAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RAZA MEDICAL.P.C",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "IQBAL",
"authorized_official_first_name": "UZMA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "516-887-0833",
"authorized_official_credential": "1/29/1975"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": "NY",
"license": "245735-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.