Raza Medical

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

245735-1 Issued in NY

Legal business name

RAZA MEDICAL

Practice address

1221 Dutch Broadway
Valley Stream, NY 11580-1512

Phone

(516) 887-0833

NPI assigned

Oct 29, 2007

Organization subpart

Yes

Parent organization

RAZA MEDICAL.P.CAs reported in NPPES

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

Specialties & licenses 1

Addresses

Part of

Raza Medical PC

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.

• Raza Medical, P.C

  • Primary Care Clinic/Center
  • Valley Stream, NY
  • NPI 1154434033
  NPPES parent name

Practitioners 1

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

• Nadeem Raza, MD

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1861411522
  NPD (past)

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": []
}

• Vielka Damaris Raveneau
• Ray of Light Mental Health Counseling, PLLC
• Jenny Raykis, PHARM.D
• Raymond J. Pastore, M.D., P.C.
• Tania Lynn Raymond
• Raza Medical, P.C
• Rebecca Kooper Audiology, PC
• Osher Rechester, MD
• Recovery Ortho Solutions Inc
• Gautam M. Reddy, M.D.

• Podiatric Clinic/Center in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Podiatric Clinic/Center in New York

• 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.

Verify at the official NPI Registry.