Organization Active NPI

Raza Medical

  • Podiatric Clinic/Center
  • Valley Stream, NY
National Provider Identifier
1255510046
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 29, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
RAZA MEDICAL.P.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Uzma Iqbal, 1/29/1975NPI 1477739753
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)CodeLicenseStatePrimary
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.

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.

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.

Verify at the official NPI Registry.