Individual provider Active NPI

Rebecca Rafael

  • Family Nurse Practitioner
  • Great Neck, NY
National Provider Identifier
1265308290
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357995 Issued in NY
Practice address
200 Middle Neck Rd Ste H
Great Neck, NY 11021-1107
Phone
(516) 765-5018
NPI assigned
Oct 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 357995 NY Primary

Addresses

Primary practice location

200 Middle Neck Rd Ste H
Great Neck, NY 11021-1107

Mailing address

26 Allenwood Rd
Great Neck, NY 11023-2127
Phone (516) 765-5018

Other practice location 1

9712 63rd Dr
Rego Park, NY 11374-2243
Phone (516) 765-5018

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223000796 NY Practitioner - Nurse Practitioner 5597250928 Reassigns benefits to 1 organization
Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1714 Huntley PL
Hewlett, NY 11557-1807

26 Allenwood Rd
Great Neck, NY 11023-2127
Phone (516) 765-5018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
357995NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Rafael NP in Family Health PLLC Single Specialty CurrentSince Oct 21, 2025 Accepting new patients
Daniel Aryeh, PT LLC Single Specialty CurrentSince Oct 21, 2025 Accepting new patients
Maryam Aghalar Physical Medicine and Rehabilitation PC Single Specialty PastSince Oct 21, 2025 Accepting new patients

Locations

200 Middle Neck Rd
Ste H
Great Neck, NY 11021
Phone (516) 570-2362

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1265308290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ALLENWOOD RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232127",
            "telephone_number": "516-765-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDDLE NECK RD STE H",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211107",
            "telephone_number": "516-765-5018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9712 63rd Dr",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113742243",
            "country_code": "US",
            "telephone_number": "516-765-5018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFAEL",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.