Individual provider Active NPI

Paul Wesley Brandt-Rauf, M.D.

  • Internal Medicine Physician
  • Scarsdale, NY
National Provider Identifier
1275834020
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
143020 Issued in NY
Practice address
40 Michael Dr
Scarsdale, NY 10583-6710
Phone
(646) 417-4250
NPI assigned
Nov 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 143020 NY Primary

Addresses

Primary practice location

40 Michael Dr
Scarsdale, NY 10583-6710

Mailing address

40 Michael Dr
Scarsdale, NY 10583-6710
Phone (646) 417-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
143020NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1275834020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MICHAEL DR",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836710",
            "telephone_number": "646-417-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MICHAEL DR",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836710",
            "telephone_number": "646-417-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT-RAUF",
        "first_name": "PAUL",
        "middle_name": "WESLEY",
        "name_prefix": "Prof.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "143020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.