Individual provider Active NPI

Irina Raklyar, MD

  • Rheumatology Physician
  • Franklin Lakes, NJ
National Provider Identifier
1356486831
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA08699100 Issued in NJ
Practice address
784 Franklin Ave
Franklin Lakes, NJ 07417
Phone
(844) 777-0910
Fax
(201) 560-0712
NPI assigned
Feb 21, 2007
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 25MA08699100 NJ Primary

Addresses

Primary practice location

784 Franklin Ave
Franklin Lakes, NJ 07417

Mailing address

784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Other practice location 1

871 Allwood Rd
Clifton, NJ 07012-1943
Phone (973) 405-5163

Other names 1

  • Mrs. Irina Serebnitsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000090 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 9234287921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

185 Route 17 S
Suite 101
Paramus, NJ 07652
Phone (844) 777-0910

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Orthopaedic Center, P.C. CurrentSince Nov 5, 2019 Accepting new patients
Kayal Medical Group, LLC Rheumatology CurrentSince Jan 1, 2022 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

784 Franklin Ave
Ste 250
Franklin Lks, NJ 07417
Phone (201) 560-0711

266 Harristown Rd
Ste 107
Glen Rock, NJ 07452
Phone (201) 560-0711

185 N Route 17
Ste 101
Paramus, NJ 07652
Phone (201) 560-0711

543 45th St
Union City, NJ 07087
Phone (201) 662-5437

250 Old Hook Rd
Ste 401
Westwood, NJ 07675

Interoperability endpoints

  • Direct secure messaging: iraklyar285133@ahs.direct-ci.com
  • Direct secure messaging: irina.raklyar@ko.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1356486831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "07417",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Allwood Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070121943",
            "country_code": "US",
            "telephone_number": "973-405-5163",
            "fax_number": "973-365-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAKLYAR",
        "first_name": "IRINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA08699100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRINA",
            "last_name": "SEREBNITSKY",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.