NPIMap

Organization Active NPI

Ocean Medical Care PC

  • Family Medicine Physician
  • Belle Harbor, NY
National Provider Identifier
1336124536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6021299 Issued in NY
Legal business name
OCEAN MEDICAL CARE PC
Practice address
431 Beach 129TH St
Belle Harbor, NY 11694-1516
Phone
(718) 474-1000
Fax
(718) 945-3987
NPI assigned
Dec 9, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark A Raifman, MD
Title
Owner
Phone
(718) 474-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6021299 NY Primary

Addresses

Primary practice location

431 Beach 129TH St
Belle Harbor, NY 11694-1516

Mailing address

PO Box 398
Woodmere, NY 11598-0398
Phone (718) 474-1000

Other identifiers 2

IdentifierTypeStateIssuer
01773257MedicaidNY
01901OtherNYQUEENS MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336124536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115980398",
            "telephone_number": "718-474-1000",
            "fax_number": "718-945-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BEACH 129TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941516",
            "telephone_number": "718-474-1000",
            "fax_number": "718-945-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAIFMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-474-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "6021299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01773257",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS MEDICARE",
            "identifier": "01901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.