Raisa Mostafa Uddin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME164244 Issued in FL

Practice address

379 N Congress Ave
Boynton Beach, FL 33426-3415

Phone

(561) 336-0191

Fax

(561) 364-7785

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Saltzman, Tanis, Pittel, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Boynton Beach, FL
  • NPI 1932590411
  NPD (past)
• Saltzman, Tanis, Pittell, Levin and Jacobson

  dba Pediatric Associates

  • Pediatrics Physician
  • Hollywood, FL
  • NPI 1639138480
  NPD (past)

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1285121038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "561-336-0191",
            "fax_number": "561-364-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 N CONGRESS AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263415",
            "telephone_number": "561-336-0191",
            "fax_number": "561-364-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "RAISA",
        "middle_name": "MOSTAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME164244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119465700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngozika Twi-Yeboah, APRN
• Tory Rochelle Twito, D.O.
• Ty J Eriks DMD Corp (Eriks Dental Group)
• Trevor James Tyner, D.O.
• Tyval Assisted Living Facility, LLC
• William Ulrich, PA-C
• Ultimate Angels Home Healthcare Inc
• Ultimate DME Products LLC
• Nelthie Ulysse, DDS
• Anne-Marie Ushunu Umoren

• Pediatrics Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.