Active NPI
Inna R Raykhelgauz, FNP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1306103122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F336419
- Practice address
- 394 Broadway FL 4
New York, NY 10013-6023 - Phone
- (212) 966-9537
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F336419 | NY | Primary |
Addresses
Primary practice location
394 Broadway FL 4
New York, NY 10013-6023
Mailing address
501 Surf Ave
Apt. 22B
Brooklyn, NY 11224-3551
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F336419 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy of New York City Inc | Current | Accepting new patients | |
| Hollis Ak LLC | Current | Accepting new patients | |
| Eastern Physical Medicine and Rehabilitation PC | Past | Accepting new patients |
Locations
175 Lawrence Ave
Brooklyn, NY 11230
Phone (718) 436-7600
80 Maiden Ln
Fl 12
New York, NY 10038
Interoperability endpoints
- iraykhelgauz1284850@nychhc.direct-ci.com
- inna.raykhelgauz.1@24989.direct.athenahealth.com
- inna.raykhelgauza.p1@direct.ucpnyc.nextgenshare.com
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.
-
- Multi-Specialty Clinic/Center
- Jamaica, NY
- NPI 1295454650
-
- Rehabilitation Clinic/Center
- New York, NY
- NPI 1730302019
-
- Supports Brokerage Agency
- Kings Park, NY
- NPI 1780819383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1306103122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SURF AVE",
"address_2": "APT. 22B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112243551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 BROADWAY FL 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100136023",
"telephone_number": "212-966-9537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYKHELGAUZ",
"first_name": "INNA",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-18",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F336419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.